# ARCHIVE HEALTH MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770303414
- **Authorized official:** TRISTAN ACOSTA-PECINA (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (830) 421-1915

## Contact information

- **Practice address:** 2701 KEYSTONE PACIFIC PKWY, PATTERSON, CA 95363-8872
- **Practice address phone:** (216) 245-5259
- **Mailing address:** 712 H ST NE STE 47, WASHINGTON, DC 20002-3627
- **Mailing address phone:** (216) 245-5259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024