Pacifica Recovery INC
Community/Behavioral Health in Palm Desert, CA. Organization (NPI-2).
NPI number1306456926
StatusActive
Last updated in NPPESAug 8, 2020
Details
- NPI
- 1306456926
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacifica Recovery INC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2020
- Certification date
- Aug 8, 2020
- Last updated
- Aug 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
74050 Alessandro Dr Ste BPalm Desert, CA 92260-3705
Phone 760-318-0626 · Fax 760-318-0610
Mailing address
280 E Mel AvePalm Springs, CA 92262-4817
Phone 760-318-0626 · Fax 760-318-0610
Authorized official
Yogesh Desai
Ceo
7603180626
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