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PACIFIC MEDICAL/BAY RECOVERY NPI 1619426673


NPI Information

NPI: 1619426673
Provider Name: PACIFIC MEDICAL/BAY RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
1501 5TH AVE STE 200
SAN DIEGO, CA
ZIP 92101
Phone: (619) 493-0436
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PACIFIC MEDICAL/BAY RECOVERY is a substance abuse treatment and children substance abuse rehabilitation facility in San Diego, CA. The provider is a facility or distinct part of a facility for children 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. PACIFIC MEDICAL/BAY RECOVERY NPI is 1619426673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1501 5TH AVE STE 200
SAN DIEGO, CA
ZIP 92101-224
Phone: (619) 493-0436

The provider's authorized official is Josie Ramos .
The authorized official title is Hr Manager and has the following contact phone number (619) 592-8695.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 4/3/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3305R00000XPreferred Provider OrganizationIMF78197CALIFORNIANo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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