# CRC HEALTH

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

## Provider details

- **NPI number:** 1679802789
- **Authorized official:** MR. RICK HASTINGS MA CADAAC (DIRECTOR)
- **Authorized official phone:** (619) 843-8067

## Contact information

- **Practice address:** 7020 FRIARS ROAD, SAN DIEGO, CA 92108
- **Practice address phone:** (619) 718-9890
- **Practice address fax:** (619) 718-9897
- **Mailing address:** 7020 FRIARS ROAD, SAN DIEGO, CA 92108
- **Mailing address phone:** (619) 718-9890
- **Mailing address fax:** (619) 718-9897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2800X | Methadone Clinic | 101YA0400X | CA | — |
| 302R00000X | Health Maintenance Organization | RI-B0911020953 | CA | Yes |

## Other

- **Enumeration date:** 12/18/2009
- **Last updated:** 12/18/2009