# RESIDENTIAL CRF, INC

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

## Provider details

- **NPI number:** 1942306790
- **Authorized official:** MS. KIM WRIGHT (ACCOUNTING ASSISTANT)
- **Authorized official phone:** (765) 827-6996

## Contact information

- **Practice address:** 624 UNIVERSITY AVE, SUITE 500, LAS VEGAS, NM 87701-4278
- **Practice address phone:** (505) 425-5429
- **Practice address fax:** (505) 425-5379
- **Mailing address:** 1117 N CENTRAL AVE, CONNERSVILLE, IN 47331-2126
- **Mailing address phone:** (765) 827-6996
- **Mailing address fax:** (765) 827-5809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 1835362 | IN | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 09/06/2023