Organization
CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA MORRIS (CHIEF EXECUTIVE OFFICER)
(805) 366-4343
Entity
Organization
Contact information
Practice address
1728 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-7800
(805) 987-7237
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-7800
(805) 987-7237
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00275
DMH LEGAL ENTITY NUMBER
CA
01
—
050000417
DEPT. PUBLIC HEALTH LICENSE
CA
01
—
CMM70656F
MEDI-CAL LEGACY NUMBER
CA
Enumeration date
09/29/2006
Last updated
05/28/2025
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