Organization
PACIFIC MEDICAL/BAY RECOVERY
Active
Organization
PACIFIC MEDICAL/BAY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE RAMOS (HR MANAGER)
(619) 592-8695
Entity
Organization
Contact information
Practice address
1501 5TH AVE STE 200, SAN DIEGO, CA 92101-3224
(619) 493-0436
Mailing address
1501 5TH AVE STE 200, SAN DIEGO, CA 92101-3224
(619) 493-0436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
305R00000X
Preferred Provider Organization
IMF78197
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
04/03/2019
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