Organization
PACIFICA RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOGESH DESAI (CEO)
(769) 318-0626
Entity
Organization
Contact information
Practice address
74200 FAIRWAY DR, PALM DESERT, CA 92260-4949
(760) 318-0626
Mailing address
280 E MEL AVE, PALM SPRINGS, CA 92262-4817
(760) 318-0626
(750) 318-0610
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
330027AP
CA
Other
Enumeration date
06/19/2018
Last updated
09/02/2020
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