Pasa Alta Manor
Pasa Alta Manor is a Mental Illness Community Based Residential Treatment Facility in Pasadena, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 3
Practice location Address checks out
1790 N Fair Oaks AvePasadena, CA 91103-1617
Phone: (626) 798-6986
Fax: (626) 798-5970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 191204078 (CA) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 191222713 (CA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 197600074 (CA) |
Record details
| NPI number | 1336426717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dewalt Brown — Ceo · (626) 926-3519 |
| NPI enumerated | November 14, 2011 |
| Last updated in NPPES | November 14, 2011 |
| Mailing address | Po Box 93577, Pasadena, CA 91109-3577 |
Other providers in Pasadena
-
Healing Enterprises
1443 E Washington Blvd 664, Pasadena, CA 91104-2650 · (626) 765-7111