| Pacific Clinics Children's Intensive Community Services | |
|
1126 N Grand Ave Suites B, C, D Covina CA 91724-1551 | |
| (626) 967-1667 | |
| (626) 967-6027 |
| Full Name | Pacific Clinics Children's Intensive Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1126 N Grand Ave, Covina, California |
| Authorized Official Name and Position | James J. Balla (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6262545000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Clinics Children's Intensive Community Services 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Children's Intensive Community Services 1126 N Grand Ave Suites B, C, D Covina CA 91724-1551 Ph: (626) 967-1667 |
| NPI Number | 1215064159 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215064159 | NPI | - | NPPES |
| 7439A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Joyce Evans Licensed Marriage Family Therapist, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Terrado Plz Ste 215, Covina, CA 91723 Phone: 626-339-2873 Fax: 626-915-5062 | |
Direct Outlook Psychological Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Terrado Plz Ste 246, Covina, CA 91723 Phone: 909-610-9036 | |
Casa Aba Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E Benbow St, Covina, CA 91722 Phone: 626-392-0448 | |
East San Gabriel Valley Mhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 N Grand Ave, Covina, CA 91724 Phone: 626-430-2800 | |
Sycamores Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 N Grand Ave, Ste. 100, Covina, CA 91724 Phone: 626-388-9050 | |
Cifhs, The Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 S Eremland Dr, Suite A, Covina, CA 91723 Phone: 626-966-1577 Fax: 626-966-5184 | |
Center For Integrated Family And Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 S Eremland Dr, Suite E, Covina, CA 91723 Phone: 626-966-1577 Fax: 626-331-4529 |