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Contact Information

CRC HEALTH TREATMENT CLINICS, LLC
3928 SOUTH NOVA ROAD
PORT ORANGE, FL32127-4911
 Phone: 386-822-9941
 Fax: 386-788-4519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Methadone

261QM2800X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CRC HEALTH TREATMENT CLINICS, LLC

NPI Number 1609470186
LBN Legal business name CRC HEALTH TREATMENT CLINICS, LLC
Authorized official BRIAN FARLEY - (VP & SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/25/2020
Last updated 04/07/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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