Organization
PACIFIC HORIZONS OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTTY ROBERT MOORE (EXECUTIVE DIRECTOR)
(424) 485-6684
Entity
Organization
Contact information
Practice address
359 REDONDO AVE, LONG BEACH, CA 90814-2656
(424) 485-6684
Mailing address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(424) 485-6684
(424) 566-9582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
1744G0900X
Graphics Designer
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251M8IOL
—
CA
Enumeration date
01/22/2025
Last updated
02/17/2025
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