| Casa Pacifica Centers For Children And Families | |
|
2615 S Miller St Santa Maria CA 93455-1775 | |
| (805) 928-8622 | |
| (805) 739-8863 |
| Full Name | Casa Pacifica Centers For Children And Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2615 S Miller St, Santa Maria, California |
| Authorized Official Name and Position | Steven E. Elson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8054457800 |
| 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 Rd Camarillo CA 93012-8520 Ph: (805) 445-7800 | Casa Pacifica Centers For Children And Families 2615 S Miller St Santa Maria CA 93455-1775 Ph: (805) 928-8622 |
| NPI Number | 1972629673 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972629673 | 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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