1336426717 PASA ALTA MANOR
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- PASA ALTA MANOR
- Enumeration Date
- November 14, 2011
- Last Update
- November 14, 2011
- Authorized Official
- DEWALT BROWN MBA
CEO
Phone: (626) 926-3519
Practice Location
- Address
- 1790 N FAIR OAKS AVE
PASADENA, CA 911031617 - Phone
- (626) 798-6986
- Fax
- (626) 798-5970
Mailing Address
- Address
- PO BOX 93577
PASADENA, CA 911093577 - Phone
- (626) 798-6986
- Fax
- (626) 798-5970
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 191222713 | CA | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 197600074 | CA | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 191204078 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191204078 | 01 | CA | ADULT RESIDENTIAL FACILITY LICENSE NUMBER |
| 191222713 | 01 | CA | ADULT RESIDENTIAL FACILITY LICENSE NUMBER |
| 197600074 | 01 | CA | ADULT RESIDENTIAL FACILITY LICENSE NUMBER |
Frequently Asked Questions
What is PASA ALTA MANOR's NPI number?
PASA ALTA MANOR's NPI number is 1336426717.
Which doctor has NPI number 1336426717?
The doctor with NPI number 1336426717 is PASA ALTA MANOR.
What is PASA ALTA MANOR's practice address?
PASA ALTA MANOR's practice address is 1790 N FAIR OAKS AVE, PASADENA, CA, 911031617.
Which doctor practices at 1790 N FAIR OAKS AVE, PASADENA, CA, 911031617?
PASA ALTA MANOR practices at 1790 N FAIR OAKS AVE, PASADENA, CA, 911031617.
What is PASA ALTA MANOR's mailing address?
PASA ALTA MANOR's mailing address is PO BOX 93577, PASADENA, CA, 911093577.
What is PASA ALTA MANOR's phone number?
PASA ALTA MANOR's phone number is (626) 798-6986.
Who is (626) 798-6986?
(626) 798-6986 is the phone number for PASA ALTA MANOR.
What is PASA ALTA MANOR's specialty?
PASA ALTA MANOR's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is PASA ALTA MANOR?
PASA ALTA MANOR is a Mental Illness Community Based Residential Treatment Facility.
Is PASA ALTA MANOR a Community Based Residential Treatment Facility, Mental Illness?
Yes, PASA ALTA MANOR is a Community Based Residential Treatment Facility, Mental Illness.
Is PASA ALTA MANOR still practicing?
Yes, PASA ALTA MANOR is currently practicing.
Is PASA ALTA MANOR accepting new patients?
PASA ALTA MANOR may be accepting new patients. Please call their office at (626) 798-6986 to inquire about availability.
Is NPI 1336426717 still active?
Yes, NPI 1336426717 is currently active.
Where does PASA ALTA MANOR practice?
PASA ALTA MANOR practices in PASADENA, CA.