Pax House Inc.
NPI #1518455302 in Altadena, California
Provider Information
- NPI Number
- 1518455302
- Entity Type
- Organization
- Organization Name
- Pax House Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PAX HOUSE INC.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 26, 2018
- Last Updated
- Jun 1, 2018
Practice Location
- Address
- 2052 LAKE AVE STE F
- City
- Altadena
- State
- California
- ZIP Code
- 91001
- Phone
- (626) 808-0335
Authorized Official
- Name
- MR. JORDAN TAYLOR DESIMONE, CADC-CAS
- Title
- PROGRAM DIRECTOR
- Phone
- (626) 808-0335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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