| Pacific Clinics Morongo Basin Clubhouse | |
|
56020 Santa Fe Trl Ste M Yucca Valley CA 92284-3148 | |
| (760) 369-4057 | |
| Not Available |
| Full Name | Pacific Clinics Morongo Basin Clubhouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 56020 Santa Fe Trl Ste M, Yucca Valley, California |
| Authorized Official Name and Position | Kathryn Mccarthy (CHIEF EXECUTIVE OFFICER / PRESIDENT) |
| Authorized Official Contact | 4083793790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Clinics Morongo Basin Clubhouse 499 Loma Alta Ave Los Gatos CA 95030-6227 Ph: (408) 379-3790 | Pacific Clinics Morongo Basin Clubhouse 56020 Santa Fe Trl Ste M Yucca Valley CA 92284-3148 Ph: (760) 369-4057 |
| NPI Number | 1982356838 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982356838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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