Organization
CASA PACIFICA
Active
Parent organization
YES
Other names
private practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MRS. HEATHER NONE CAMPBELL (ADMINASTRATION)
(805) 445-7800
Entity
Organization
Contact information
Practice address
1722 LEWIS RD, 268, CAMARILLO, CA 93012-0234
(805) 445-7800
(805) 987-0258
Mailing address
1722 S LEWIS RD, NONE, CAMARILLO, CA 93012-8520
(805) 445-7800
(805) 987-0258
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MFC2900
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MFC29100
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
MFC29100
CA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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