| Dedicato Treatment Center Inc. | |
|
133 N Altadena Dr Ste 401 Pasadena CA 91107-7330 | |
| (626) 921-0113 | |
| (626) 921-0214 |
| Full Name | Dedicato Treatment Center Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 133 N Altadena Dr Ste 401, Pasadena, California |
| Authorized Official Name and Position | Dr. Keith Lamont Marshall (CEO) |
| Authorized Official Contact | 6269210113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicato Treatment Center Inc. 133 N Altadena Dr Ste 401 Pasadena CA 91107-7330 Ph: (626) 921-0113 | Dedicato Treatment Center Inc. 133 N Altadena Dr Ste 401 Pasadena CA 91107-7330 Ph: (626) 921-0113 |
| NPI Number | 1013415215 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013415215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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