| Casa Pacifica Centers For Children And Families | |
|
751 E. Daily Drive Suite 320 Camarillo CA 93010-0772 | |
| (805) 366-4040 | |
| (805) 987-7237 |
| Full Name | Casa Pacifica Centers For Children And Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 751 E. Daily Drive, Camarillo, California |
| Authorized Official Name and Position | Shawna Morris (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8053664343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Pacifica Centers For Children And Families 1722 S. Lewis Road Camarillo CA 93012-8520 Ph: (805) 366-4040 | Casa Pacifica Centers For Children And Families 751 E. Daily Drive Suite 320 Camarillo CA 93010-0772 Ph: (805) 366-4040 |
| NPI Number | 1154447761 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154447761 | NPI | - | NPPES |
| CMM70656F | Medicaid | CA | |
| 00275 | Other | CA | DMH LEGAL ENTITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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