NPI | 1316721954 |
---|---|
Doing Business As | PACIFIC HEALTH GROUP |
Entity Type | Organization |
Authorized Contact | CANDICE SHAMOON Credentialing Director 833-378-4110 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
103TC0700X Psychologist, Clinical | |
251X00000X | |
3747A0650X Technician, Attendant Care Provider | |
376J00000X Homemaker | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2023-08-23 |
Last Update Date | 2023-08-28 |