| Pacifica Recovery, Inc. | |
|
415 W Foothill Blvd Ste 210 Claremont CA 91711-2766 | |
| (626) 813-3771 | |
| (626) 813-3772 |
| Full Name | Pacifica Recovery, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 415 W Foothill Blvd, Claremont, California |
| Authorized Official Name and Position | April J Antoniou (CREDENTIALING SERVICES MANAGER) |
| Authorized Official Contact | 8054131318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Recovery, Inc. 3717 E Thousand Oaks Blvd Westlake Village CA 91362-3607 Ph: (805) 413-1318 | Pacifica Recovery, Inc. 415 W Foothill Blvd Ste 210 Claremont CA 91711-2766 Ph: (626) 813-3771 |
| NPI Number | 1154479517 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154479517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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