Pacific Harbor Treatment, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

340104AP Issued in CA

Legal business name

PACIFIC HARBOR TREATMENT, INC.

Practice address

3485 Beretania Way
Sacramento, CA 95834-2548

Phone

(916) 285-0885

Fax

(916) 285-0885

NPI assigned

Aug 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sunny J Langley, CAS

Title

Executive Director

Phone

(916) 285-0885

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunny J Richards Langley, RAS, CSC, CDS

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
  • NPI 1114167533
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1457785222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 BERETANIA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342548",
            "telephone_number": "916-285-0885",
            "fax_number": "916-285-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 BERETANIA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342548",
            "telephone_number": "916-285-0885",
            "fax_number": "916-285-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HARBOR TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-285-0885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "340104AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sacramento, CA
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.