Organization
PACIFIC SOLSTICE INTEGRATIVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTEN DEVEREUX LADAC (ADMINISTRATOR)
(949) 200-7929
Entity
Organization
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 443, MISSION VIEJO, CA 92691-6375
(949) 200-7929
(949) 506-3716
Mailing address
26732 CROWN VALLEY PKWY STE 443, MISSION VIEJO, CA 92691-6375
(949) 200-7929
(949) 506-3716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/29/2020
Last updated
03/07/2024
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