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NPI Code Detail

MEDICARE: CRC RECOVERY INC

MEDICARE: CRC RECOVERY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterSA0810370MI
2261QM2800XMethadone ClinicSA0810370MI

General Provider Information

NPI Number : 1396149068
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRC RECOVERY INC
Provider Business Mailing Address
First Line : PO BOX 682669
Second Line :
City : FRANKLIN
State : TN
Zip : 37068-2669
Country : US
Telephone Number : 760-710-0819
Fax Number :
Provider Business Practice Location Address
First Line : 522 SOUTH MAPLE ROAD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-3837
Country : US
Telephone Number : 734-585-7970
Fax Number : 734-585-7977
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 10/09/2014
Last Update Date : 04/07/2026

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