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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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