Provider Demographics
NPI:1043442346
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
Mailing Address - Street 2:SUITE G
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 1:34248 VIA SANTA ROSA
Practice Address - Street 2:
Practice Address - City:CAPISTRANO BEACH
Practice Address - State:CA
Practice Address - Zip Code:92624-1121
Practice Address - Country:US
Practice Address - Phone:949-489-8121
Practice Address - Fax:949-489-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300074CP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility