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Organization
PACIFICA RECOVERY INC
Active
Organization
PACIFICA RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOGESH DESAI (CEO)
(760) 318-0626
Entity
Organization
Contact information
Practice address
74050 ALESSANDRO DR STE B, PALM DESERT, CA 92260-3705
(760) 318-0626
(760) 318-0610
Mailing address
280 E MEL AVE, PALM SPRINGS, CA 92262-4817
(760) 318-0626
(760) 318-0610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/07/2020
Last updated
08/08/2020
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