Organization
PACIFIC PALMS RECOVERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CHRISTLE (VP/CEO)
(949) 943-5188
Entity
Organization
Contact information
Practice address
3551 CAMINO MIRA COSTA STE T, SAN CLEMENTE, CA 92672-3504
(949) 943-5188
(949) 542-8565
Mailing address
3551 CAMINO MIRA COSTA STE T, SAN CLEMENTE, CA 92672-3504
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
300273AP
CA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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