Healthcare Provider Details

I. General information

NPI: 1558273334
Provider Name (Legal Business Name): CROWNVIEW CO-OCCURRING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 VISTA WAY
OCEANSIDE CA
92054-6447
US

IV. Provider business mailing address

315 N CLEMENTINE ST
OCEANSIDE CA
92054-2806
US

V. Phone/Fax

Practice location:
  • Phone: 760-638-5935
  • Fax:
Mailing address:
  • Phone: 760-638-5935
  • Fax:

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: JEFFREY KLEIN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 760-231-1170