Roque Center, Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Stanton, CA
NPI 1689772170 · NPPES record last updated Jan 3, 2017
Key facts
- NPI
- 1689772170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 300015AN (CA)
- Legal business name
- ROQUE CENTER, INC
- Practice address
- 10936 Dale Ave
Stanton, CA 90680-2724 - Phone
- (714) 952-4032
- Fax
- (714) 952-4075
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dana Scott
- Title
- Executive Manager
- Phone
- (714) 952-4032
Practitioners 41
-
Cody Battaglia, SUD COUNSELOR
-
Tamara Brown, RASI
-
Jacque Paige Deleo, RASI
-
Melissa J Johnson, SUDRC
-
Breanon Kratzer, RADTI
-
Marian Loggans, SUDRC
-
Gilbert Diallo Madison, SUDCC III-CS
-
Gwendolyn Lea Mason, CADTP #8348
-
Nicholas Scott Megesi, CCAPP
-
Hee Chong Min, RAC
-
Margarita Navarro, SUDRC
-
Ronald Perry, SUDCC
National Provider Directory
Locations
10936 Dale Ave
Stanton, CA 90680
Phone (714) 952-4032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 300015AN | CA | Yes |
Addresses
Primary practice location
10936 Dale Ave
Stanton, CA 90680-2724
Mailing address
10936 Dale Ave.
Stanton, CA 90680
Phone (714) 952-4032
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300015AN | Other | CA | STATE LICENSE AND CERTIFI |
Other providers in Stanton, CA
- Adrian Rodriguez
- Andrew Anthony Rodriguez
- Brittany Rodriguez
- Elizabeth Rodriguez
- Elvira Romo
- Emily C Rosales
- Donald Ross
- Dennis Runner
- Lindsay Elizabeth Runyan
- Marian Ruby Ruvalcaba
All providers in Stanton, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.