Organization
PACIFIC BAY RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SEAN DUFFY DO (OWNER)
(619) 461-3717
Entity
Organization
Contact information
Practice address
13967 CAMPO RD STE 202B, JAMUL, CA 91935-3232
(619) 461-3717
(619) 330-1379
Mailing address
13967 CAMPO RD STE 202A, JAMUL, CA 91935-3232
(619) 461-3717
(619) 303-1379
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370136AP
DHCS CERTIFICATION
CA
Enumeration date
03/21/2013
Last updated
04/17/2023
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