Provider Demographics
NPI:1013389303
Name:THE ARROYOS TREATMENT CENTER
Entity Type:Organization
Organization Name:THE ARROYOS TREATMENT CENTER
Other - Org Name:THE ARROYOS TREATMENT CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:VALONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,PSYD MSCP
Authorized Official - Phone:877-844-8272
Mailing Address - Street 1:ONE WEST CALIFORNIA BOULEVARD
Mailing Address - Street 2:SUITE 321
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3033
Mailing Address - Country:US
Mailing Address - Phone:877-884-8272
Mailing Address - Fax:626-628-3177
Practice Address - Street 1:1 W CALIFORNIA BLVD
Practice Address - Street 2:SUITE 321
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3029
Practice Address - Country:US
Practice Address - Phone:877-884-8272
Practice Address - Fax:626-628-3177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190870AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA190870APOtherFACILITY CERTIFICATE