Provider Demographics
NPI:1972644946
Name:PARTNERS IN RECOVERY
Entity Type:Organization
Organization Name:PARTNERS IN RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:OLSEN
Authorized Official - Last Name:MCGEHEE
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED MFT
Authorized Official - Phone:626-963-3337
Mailing Address - Street 1:1433 E ROUTE 66
Mailing Address - Street 2:SUITE E
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-3747
Mailing Address - Country:US
Mailing Address - Phone:626-963-3337
Mailing Address - Fax:
Practice Address - Street 1:1433 E ROUTE 66
Practice Address - Street 2:SUITE E
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3747
Practice Address - Country:US
Practice Address - Phone:626-963-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 32546106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty