Organization
PRINCIPLES INC (DBA) IMPACT DRUG & ALCOHOL TREATMENT CENTER
Active
Other names
Impact
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PAQUET MBA, CAADE (ADMISSIONS DIRECTOR)
(626) 798-0884
Entity
Organization
Contact information
Practice address
1680 N FAIR OAKS AVE, PASADENA, CA 91103-1642
(626) 798-0884
(626) 798-6970
Mailing address
1680 N FAIR OAKS AVE, PASADENA, CA 91103-1642
(626) 798-0884
(626) 798-6970
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190094AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962542274
MHN
CA
Enumeration date
02/07/2007
Last updated
06/14/2024
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