Rite Of Passage Adolescent Treatment Centers And Schools, INC
Clinic/Center, Adolescent and Children Mental Health in Placentia, CA. Organization (NPI-2).
NPI number1699250332
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1699250332
- Entity type
- Organization (NPI-2)
- Legal business name
- Rite Of Passage Adolescent Treatment Centers And Schools, INC
- Organization subpart
- Yes
- Enumeration date
- Sep 28, 2018
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
Other names
- Cys Rite Of Passage Paragon (Other Name)
Practice location
714 Morse AvePlacentia, CA 92870-3504
Phone 714-572-0175
Mailing address
2560 Business Pkwy Ste BMinden, NV 89423-8961
Phone 775-392-2657 · Fax 392-392-2455
Authorized official
Rusty E. Alexander
Business Managing Director
7753922639
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