Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Infusion Therapy |
163WI0500X | |||
Professional |
101YP2500X |
| NPI Number | 1457933897 |
| LBN Legal business name | CRC INSTITUTE, LLC |
| Authorized official | AMY EIMERMAN - (CHIEF ADMINISTRATIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/26/2021 |
| Last updated | 10/21/2021 - About 5 years ago |
| Identifiers | n/a |
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