CRC HOME AVENUE CLINIC NPI 1285986430

NPI Information

CRC HOME AVENUE CLINIC is a methadone clinic center in San Diego, 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. CRC HOME AVENUE CLINIC NPI is 1285986430. The provider is registered as an organization entity type.

The provider's business location address is:

3940 HOME AVE
SAN DIEGO, CA
ZIP 92105-952
Phone: (619) 262-8800
Fax: (619) 266-7405

The provider's authorized official is Sandee Richardson .
The authorized official title is Program Director and has the following contact phone number (619) 262-8000.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 10/12/2012.

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:

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