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Organization

ROSECRANS VILLA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRICIA MARIE PEDROZA (OWNER PRESIDENT)
(310) 675-9163
Entity
Organization

Contact information

Practice address
14110 CORDARY AVE, HAWTHORNE, CA 90250-8005
(310) 675-9163
(310) 676-4388
Mailing address
14110 CORDARY AVE, HAWTHORNE, CA 90250-8005
(310) 675-9163
(310) 676-4388

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CA

Other

Enumeration date
05/25/2007
Last updated
08/22/2020
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