Provider Demographics
NPI:1821135393
Name:THE GOODEN CENTER
Entity type:Organization
Organization Name:THE GOODEN CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HAZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-714-1423
Mailing Address - Street 1:191 N EL MOLINO AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1804
Mailing Address - Country:US
Mailing Address - Phone:626-356-0078
Mailing Address - Fax:626-356-0655
Practice Address - Street 1:191 N EL MOLINO AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1804
Practice Address - Country:US
Practice Address - Phone:805-413-1318
Practice Address - Fax:805-413-1304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190009AN261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder