Healthcare Provider Details

I. General information

NPI: 1972629673
Provider Name (Legal Business Name): CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 S MILLER ST STE 101
SANTA MARIA CA
93455-1774
US

IV. Provider business mailing address

1722 S LEWIS RD
CAMARILLO CA
93012-8520
US

V. Phone/Fax

Practice location:
  • Phone: 805-319-7502
  • Fax:
Mailing address:
  • Phone: 805-445-7800
  • Fax: 805-987-7237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWNA MORRIS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 805-445-7800