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Pacific Medical/bay Recovery
Children's Substance Abuse Rehabilitation Facility in San Diego, California
NPI 1619426673

Pacific Medical/bay Recovery is a Children's Substance Abuse Rehabilitation Facility based in San Diego, CA and is specialized in Substance Abuse Treatment, Children. Pacific Medical/bay Recovery practices in San Diego, CA. The NPI Number for Pacific Medical/bay Recovery is 1619426673 and holds a License No. (California).

The current practice location address for Pacific Medical/bay Recovery is 1501 5Th Ave Ste 200, San Diego, CA and can be reached out via phone at 619-493-0436.

Location: 1501 5Th Ave Ste 200, San Diego, CA, 92101-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619426673
Provider Name
Pacific Medical/bay Recovery
Credential
Provider Entity Type
Organization
Address
1501 5Th Ave Ste 200, San Diego, CA, 92101-3224
Phone Number
619-493-0436
Fax Number
Provider Enumeration Date
09/30/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1501 5Th Ave Ste 200
City
San Diego
State
California
Zip
92101-3224
Phone Number
619-493-0436
Fax Number
person
Provider Business Mailing Address Details
Address
1501 5Th Ave Ste 200
City
San Diego
State
California
Zip
92101-3224
Phone Number
619-493-0436
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMF78197 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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