Organization
PACIFICA RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL J ANTONIOU (CREDENTIALING SERVICES MANAGER)
(805) 413-1318
Entity
Organization
Contact information
Practice address
415 W FOOTHILL BLVD, STE 210, CLAREMONT, CA 91711-2766
(626) 813-3771
(626) 813-3772
Mailing address
3717 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-3607
(805) 413-1318
(805) 413-1304
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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