Organization · Type 2 NPI

Pacific Medical/bay Recovery

Children's Substance Abuse Rehabilitation Facility · San Diego, CA

NPI number 1619426673 Active

Practice location

1501 5th Ave Ste 200
San Diego, CA 92101-3224

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Preferred Provider Organization 305R00000XIMF78197 (CA)
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: 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.

Another provider at this address

About NPI 1619426673

Pacific Medical/bay Recovery's National Provider Identifier is 1619426673, issued on Sep 30, 2016. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in San Diego, CA. The record was last updated on Apr 3, 2019.