Organization
CASA DE LAS AMIGAS
Active
Other names
Casa Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH N. RODEMICH (EXECUTIVE DIRECTOR)
(626) 792-2770
Entity
Organization
Contact information
Practice address
169 N OAK KNOLL AVE., PASADENA, CA 91101
(626) 792-2770
Mailing address
160 N EL MOLINO AVE, PASADENA, CA 91101
(626) 792-2770
(626) 792-5826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
190012BN
CA
251B00000X
Case Management Agency
190012BN
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
190012BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190012BN
STATE OF CA
CA
Enumeration date
02/11/2010
Last updated
03/03/2020
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