Ridgeview Drive Ranch, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Altadena, CA. Organization (NPI-2).
NPI number1124366406
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1124366406
- Entity type
- Organization (NPI-2)
- Legal business name
- Ridgeview Drive Ranch, LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2013
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
741 W Woodbury RdAltadena, CA 91001
Phone 800-296-1868
Mailing address
3085 Ridgeview DrAltadena, CA 91001-4527
Phone 800-296-1868 · Fax 310-836-4500
Authorized official
Larry Thornton
Authorized Official
6264823478
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