Organization
PACIFIC CENTER FOR ADDICTION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ROBERT FEICHT MPA (CEO)
(209) 887-3069
Entity
Organization
Contact information
Practice address
808 N CENTER ST, STOCKTON, CA 95202-1610
(209) 227-7467
(209) 932-9694
Mailing address
PO BOX 8372, STOCKTON, CA 95208-0372
(209) 227-7467
(209) 932-9694
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
390036AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390036AN
DEPARTMENT OF HEALTH CARE SERVICES- AOD COUNSELING SERVICES
CA
Enumeration date
12/16/2014
Last updated
12/16/2014
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