Healthcare Provider Details

I. General information

NPI: 1174676720
Provider Name (Legal Business Name): CRI-HELP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11027 BURBANK BLVD.
NORTH HOLLYWOOD CA
91601-2431
US

IV. Provider business mailing address

11027 BURBANK BLVD.
NORTH HOLLYWOOD CA
91601-2431
US

V. Phone/Fax

Practice location:
  • Phone: 818-985-8323
  • Fax: 818-985-4297
Mailing address:
  • Phone: 818-985-8323
  • Fax: 818-985-4297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number190095AN
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number190095AN
License Number StateCA

VIII. Authorized Official

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