PACIFIC CITY RECOVERY NPI 1023550431

NPI Information

PACIFIC CITY RECOVERY is a substance abuse rehabilitation facility in Fountain Valley, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PACIFIC CITY RECOVERY NPI is 1023550431. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific City Recovery.

The provider's business location address is:

11851 WISTERIA AVE
FOUNTAIN VALLEY, CA
ZIP 92708-654
Phone: (949) 642-4150
Fax: (949) 642-3441

The provider's authorized official is Kristin Vournas .
The authorized official title is Vice President and has the following contact phone number (949) 413-3339.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 12/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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