Provider Demographics
NPI:1235683897
Name:ROSEMARY CHILDREN'S SERVICES
Entity Type:Organization
Organization Name:ROSEMARY CHILDREN'S SERVICES
Other - Org Name:ROSEMARY - BONNIE HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:COMMUNITY BASED SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-844-3033
Mailing Address - Street 1:63 N BONNIE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2101
Mailing Address - Country:US
Mailing Address - Phone:626-844-3033
Mailing Address - Fax:626-844-3034
Practice Address - Street 1:63 N BONNIE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2101
Practice Address - Country:US
Practice Address - Phone:626-844-3033
Practice Address - Fax:626-844-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children