# CRC HEALTH GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043465008
- **Authorized official:** MR. EDWARD ANTHONY PIZANO JR. B.A. (COUNSELOR)
- **Authorized official phone:** (619) 395-2197

## Contact information

- **Practice address:** 1161 THIRD AVENUE, CHULA VISTA, CA 91911
- **Practice address phone:** (619) 498-8260
- **Mailing address:** 766 10TH ST, IMPERIAL BEACH, CA 91932-2216
- **Mailing address phone:** (619) 395-2197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2008
- **Last updated:** 11/18/2008
