CRC ED TREATMENT LLC NPI 1093193682

NPI Information

NPI: 1093193682
Provider Name: CRC ED TREATMENT, LLC

Doing Business As: MONTECATINI

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6183 PASEO DEL NORTE
SUITE 110
CARLSBAD, CA
ZIP 92011
Phone: (760) 436-2657
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CRC ED TREATMENT, LLC is a mental health counselor in Carlsbad, CA. CRC ED TREATMENT, LLC NPI is 1093193682. The provider is registered as an organization entity type.
The provider Is Doing Business As Montecatini.

The provider's business location address is:

6183 PASEO DEL NORTE
SUITE 110
CARLSBAD, CA
ZIP 92011-154
Phone: (760) 436-2657

The provider's authorized official is Brian P Farley .
The authorized official title is Vice President And Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 05D1078345 - other - ed treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 8/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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