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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Alhambra High School
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J. BALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(626) 254-5000
Entity
Organization
Contact information
Practice address
101 S 2ND ST, ROOMS C125 AND D104, ALHAMBRA, CA 91801-3716
(626) 463-1021
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-6853
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19AM
ALCOHOL AND DRUG PROGRAM
CA
Enumeration date
01/28/2008
Last updated
08/29/2016
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