Ballsbridge Behavior And Consultation Services | |
1031 Alpine Villa Dr Altadena CA 91001-1404 | |
(888) 740-8893 | |
Not Available |
Full Name | Ballsbridge Behavior And Consultation Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1031 Alpine Villa Dr, Altadena, California |
Authorized Official Name and Position | Emilia Broberg (OWNER, PRESIDENT, CEO) |
Authorized Official Contact | 8444278834 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ballsbridge Behavior And Consultation Services Po Box 628 La Canada CA 91012-0628 Ph: () - | Ballsbridge Behavior And Consultation Services 1031 Alpine Villa Dr Altadena CA 91001-1404 Ph: (888) 740-8893 |
NPI Number | 1932574597 |
---|---|
Provider Enumeration Date | 12/08/2015 |
Last Update Date | 09/16/2020 |
Certification Date | 09/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932574597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 3831490 (California) | Primary |
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