Organization
CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Active
Organization
CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA MORRIS MPA (CHIEF EXECUTIVE OFFICER)
(805) 366-4343
Entity
Organization
Contact information
Practice address
751 E. DAILY DRIVE, SUITE 320, CAMARILLO, CA 93010-0772
(805) 366-4040
(805) 987-7237
Mailing address
1722 S. LEWIS ROAD, CAMARILLO, CA 93012-8520
(805) 366-4040
(805) 987-7237
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00275
DMH LEGAL ENTITY NUMBER
CA
05
—
CMM70656F
—
CA
Enumeration date
03/22/2007
Last updated
08/31/2022
Update your record
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