| Annandale Behavioral Health, Llc | |
|
1280 Afton St Pasadena CA 91103-2303 | |
| (312) 092-2226 | |
| Not Available |
| Full Name | Annandale Behavioral Health, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1280 Afton St, Pasadena, California |
| Authorized Official Name and Position | Darryl Olivier (CEO) |
| Authorized Official Contact | 3109222264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annandale Behavioral Health, Llc 1513 Portia St Los Angeles CA 90026-2651 Ph: (310) 922-2264 | Annandale Behavioral Health, Llc 1280 Afton St Pasadena CA 91103-2303 Ph: (312) 092-2226 |
| NPI Number | 1437797024 |
|---|---|
| Provider Enumeration Date | 12/15/2019 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437797024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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