CAPALINA CLINIC NPI 1104162403

NPI Information

NPI: 1104162403
Provider Name: CAPALINA CLINIC

Doing Business As: CRC HEALTH

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
1560 CAPALINA RD
SAN MARCOS, CA
ZIP 92069
Phone: (760) 744-2104
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CAPALINA CLINIC is a methadone clinic center in San Marcos, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CAPALINA CLINIC NPI is 1104162403. The provider is registered as an organization entity type.
The provider Is Doing Business As Crc Health.

The provider's business location address is:

1560 CAPALINA RD
SAN MARCOS, CA
ZIP 92069-288
Phone: (760) 744-2104

The provider's authorized official is Phillip C. Wilford .
The authorized official title is Counselor and has the following contact phone number (206) 227-0959.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.

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	261QM2800X	Clinic/Center	Methadone			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: 5/5/2024

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