Organization · NPI-2

Aptus Pacem, LLC

Community Based Residential Treatment Facility, Mental Illness · Los Angeles, CA

NPI number1386283984
StatusActive
Last updated in NPPESDec 30, 2019

Details

NPI
1386283984
Entity type
Organization (NPI-2)
Legal business name
Aptus Pacem, LLC
Organization subpart
No
Enumeration date
Dec 30, 2019
Certification date
Dec 30, 2019
Last updated
Dec 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness––Yes

Other names

  • Fair Oaks Manor III (Doing Business As)

Practice location

5035 E Echo St
Los Angeles, CA 90042-3915

Phone 818-846-4469

Mailing address

3013 Annita Dr
Glendale, CA 91206-1302

Phone 818-846-4469 · Fax 818-457-5577

Authorized official

Teodulo Bonzon
Manager
8188464469

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Based Residential Treatment Facility, Mental Illness providers in Los Angeles, CA