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NPI Code Detail

MEDICARE: CRC HEALTH

MEDICARE: CRC HEALTH
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
1261QM2800XMethadone Clinic101YA0400XCA

General Provider Information

NPI Number : 1437372778
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRC HEALTH
Provider Business Mailing Address
First Line : 3038 CHAMOUNE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-4334
Country : US
Telephone Number : 619-251-9868
Fax Number :
Provider Business Practice Location Address
First Line : 7020 FRIARS RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1126
Country : US
Telephone Number : 619-718-9890
Fax Number : 619-718-9897
Authorized Official
Title or Position : COUNSELOR
Name : MR. PETER JEROME SANFILIPPO
Credential : AS DEGREE
Telephone Number : 619-718-9890
Provider Enumeration Date : 04/11/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1609997865 — CRC HEALTH GROUP, INC
Practice Location Address:
7020 FRIARS RD
SAN DIEGO, CA
92108-1126
Practice Phone: 619-718-9890
Practice Fax:
1497972236 — WILLIAM RHODES SCHENCK
Practice Location Address:
7020 FRIARS RD
SAN DIEGO, CA
92108-1126
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Practice Fax:
1457579716 — DR. PURI BARIN-TANJUAQUIO M.D.
Practice Location Address:
7020 FRIAR RD
SAN DIEGO, CA
92108-1126
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Practice Fax:
1306065743 — MR. NATHANIEL TAN LVN
Practice Location Address:
7020 FRIARS RD
SAN DIEGO, CA
92108-1126
Practice Phone: 619-718-9890
Practice Fax:
1891914248 — MARIA VILLEGAS
Practice Location Address:
7020 FRIARS RD
SAN DIEGO, CA
92108-1126
Practice Phone: 161-971-8989
Practice Fax:
1942420138 — CRC HEALTH GROUP
Practice Location Address:
7020 FRIARS RD
SAN DIEGO, CA
92108-1126
Practice Phone: 619-718-9890
Practice Fax:

Directions to “CRC HEALTH ” Practice Location

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