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Contact Information

CRC HEALTH
7020 FRIARS ROAD
SAN DIEGO, CA92108
 Phone: 619-718-9890
 Fax: 619-718-9897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
 

Methadone

261QM2800X
Indicates primary specialty

NPI Profile & details for CRC HEALTH

NPI Number 1679802789
LBN Legal business name CRC HEALTH
Authorized official RICK HASTINGS - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2009
Last updated 12/18/2009 - About 16 years ago
Identifiers
CA License # 101YA0400X
CA License # RI-B0911020953
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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