Healthcare Provider Details

I. General information

NPI: 1649528761
Provider Name (Legal Business Name): CRI-HELP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 KEITH ST
LOS ANGELES CA
90031-3128
US

IV. Provider business mailing address

2029 KEITH ST
LOS ANGELES CA
90031-3128
US

V. Phone/Fax

Practice location:
  • Phone: 323-222-7660
  • Fax: 323-222-7891
Mailing address:
  • Phone: 323-222-7660
  • Fax: 323-222-7891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number190095NN
License Number StateCA

VIII. Authorized Official

Name: MR. JACK BERNSTEIN
Title or Position: PRESIDENT / CEO
Credential:
Phone: 818-985-8323