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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Parent organization
PACIFIC CLINICS
Other names
Pacific Clinics La VIA Wellness & Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC CLINICS
Authorized official
KATHRYN MCCARTHY (CHIEF EXECUTIVE OFFICER / PRESIDENT)
(408) 379-3790
Entity
Organization
Contact information
Practice address
625 FAIR OAKS AVE, STE 125 & STE 300, SOUTH PASADENA, CA 91030-2630
(626) 441-4221
(626) 441-6479
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
(408) 364-4013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
11/18/2021
Last updated
05/22/2024
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