Ridgeview Drive Ranch, Llc

NPI 1124366406 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1124366406
Enumeration Date 01/22/2013
Last Updated 01/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERT ROBERT
Position EXECUTIVE DIRECTOR
Phone (626) 791-0831
Fax (626) 791-1592
Practice Location
3085 RIDGEVIEW DR
RIDGEVIEW RANCH
ALTADENA CA, 91001-4527, US
Phone (626) 791-0831
Fax (626) 791-1592
Business Location
2118 WILSHIRE BLVD
#558
SANTA MONICA CA, 90403-5704, US
Phone (310) 291-2991
Fax (310) 836-4500
Toxanomy
Taxonomy Code 324500000X
License State California
License Number 190627AP
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According to our database, Ridgeview Drive Ranch, Llc NPI is 1124366406, taxonomy code is 324500000X and license number is 190627AP, license state is located at California. Ridgeview Drive Ranch, Llc physically located at 3085 Ridgeview Dr, Altadena CA, 91001-4527. NPI Number 1033115704 has the healthcare provider type.

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1124366406 NPI number is provided on an as is basis without warranty of any kind. 1124366406 is maintained by the National Plan & Provider Enumeration System. The contents of Ridgeview Drive Ranch, Llc are for informational purposes only.