Whalio Doctors

NPI 1093257545

Casa Edithafoundation INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pasadena, CA

Practice location

Address
1756 N Hill Ave, Pasadena, CA 91104-1429
Phone
(626) 794-3916
Fax
(626) 696-3929

Authorised official

Name
Edith Avanzado
Title
Executive Director
Phone
(626) 374-7294

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 191222785 (CA)

Registry record

NPI
1093257545
Entity type
Organization
NPI issued
15 Nov 2016
Record last updated
15 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.