Crystal Manor
NPI #1528295128 in Baldwin Park, California
Provider Information
- NPI Number
- 1528295128
- Entity Type
- Organization
- Organization Name
- Crystal Manor
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jun 22, 2009
- Last Updated
- Jun 22, 2009
Practice Location
- Address
- 3406 BALDWIN PARK BLVD
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-4807
- Phone
- (626) 337-1424
Authorized Official
- Name
- MR. WAIL HADDADIN, ADULT RESIDENTAL
- Title
- FACILITY
- Phone
- (626) 337-1424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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