| Pacific Clinics Youth And Family Services Of Thousand Oaks | |
|
72 Moody Ct Thousand Oaks CA 91360-6067 | |
| (805) 777-3519 | |
| (805) 449-1179 |
| Full Name | Pacific Clinics Youth And Family Services Of Thousand Oaks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 72 Moody Ct, Thousand Oaks, California |
| Authorized Official Name and Position | Susan Mandel (PRESIDENT CEO) |
| Authorized Official Contact | 6262545000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Clinics Youth And Family Services Of Thousand Oaks 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Youth And Family Services Of Thousand Oaks 72 Moody Ct Thousand Oaks CA 91360-6067 Ph: (805) 777-3519 |
| NPI Number | 1649306960 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649306960 | NPI | - | NPPES |
| 0000056BY | Medicaid | CA | |
| 0000056AC | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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