Organization
CASA PALMERA CARE CENTER, INC.
Active
Parent organization
CASA PALMERA CARE CENTER, INC.
Other names
Casa Palmera, Lusk
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASA PALMERA CARE CENTER, INC.
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
6305 LUSK BLVD, SAN DIEGO, CA 92121
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/31/2021
Last updated
03/21/2024
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