Provider Demographics
NPI:1962566349
Name:PACIFIC HILLS TREATMENT CENTERS, INC.
Entity type:Organization
Organization Name:PACIFIC HILLS TREATMENT CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-248-5335
Mailing Address - Street 1:32236 PASEO ADELANTO STE G
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3609
Mailing Address - Country:US
Mailing Address - Phone:949-248-5335
Mailing Address - Fax:949-248-4275
Practice Address - Street 1:217 AVENIDA MONTEREY STE A
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4114
Practice Address - Country:US
Practice Address - Phone:949-369-2915
Practice Address - Fax:949-369-7261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300074BP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility