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Ridgeview Drive Ranch, LLC

Substance Abuse Rehabilitation Facility in Altadena, CA. Organization (NPI-2).

NPI number1669825535
StatusActive
Last updated in NPPESJun 21, 2018

Details

NPI
1669825535
Entity type
Organization (NPI-2)
Legal business name
Ridgeview Drive Ranch, LLC
Organization subpart
No
Enumeration date
Jul 15, 2016
Last updated
Jun 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility190627BPCAYes

Practice location

3323 Marengo Ave
Altadena, CA 91001

Phone 800-296-1868

Mailing address

3085 Ridgeview Dr
Altadena, CA 91001-4527

Phone 800-296-1868

Authorized official

Larry Thornton
Authorized Official
6264823478

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