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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Clubhouse - Santa Fe Social Club
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MANDEL PHD (PRESIDENT CEO)
(626) 254-5000
Entity
Organization
Contact information
Practice address
56020 SANTA FE TRL, SUITE M, YUCCA VALLEY, CA 92284-3148
(760) 369-4057
(760) 369-9473
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-6853
(626) 254-5000
(626) 294-1077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000036BV
—
CA
Enumeration date
02/26/2007
Last updated
05/21/2008
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