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NPI Code Detail

MEDICARE: ROSEMARY CHILDREN'S SERVICES

MEDICARE: ROSEMARY CHILDREN'S SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1689972846
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEMARY CHILDREN'S SERVICES
Provider Business Mailing Address
First Line : 36 S KINNELOA AVE
Second Line : SUITE 200
City : PASADENA
State : CA
Zip : 91107-3853
Country : US
Telephone Number : 626-844-3033
Fax Number : 626-844-3034
Provider Business Practice Location Address
First Line : 3244 E GREEN ST
Second Line :
City : PASADENA
State : CA
Zip : 91107-3836
Country : US
Telephone Number : 626-795-7218
Fax Number :
Authorized Official
Title or Position : WRAPAROUND PROGRAM DIRECTOR
Name : LORRAINE ROMERO
Credential :
Telephone Number : 626-844-3033
Provider Enumeration Date : 03/11/2011
Last Update Date : 05/14/2015

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Directions to “ROSEMARY CHILDREN'S SERVICES ” Practice Location

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