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1760146583
SOCAL INNOVATIVE BEHAVIORAL HEALTH LLC
PASADENA, CA
NPI
1760146583
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Entity Type
Organization
Authorized Contact
MARK GRANDPRE
Owner
310-927-3060
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
SOCAL INNOVATIVE BEHAVIORAL HEALTH LLC
104 S ROOSEVELT AVE
PASADENA, CA 91107-4126
Phone number: 310-927-3060
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Mailing Address
SOCAL INNOVATIVE BEHAVIORAL HEALTH LLC
104 S ROOSEVELT AVE
PASADENA, CA 91107-4126
Phone number: 310-927-3060
Copy
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