Organization
COMMUNITY RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA SANCHEZ (HUMAN RESOURCE)
61927500822
Entity
Organization
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
(619) 232-7048
Mailing address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
(619) 232-7048
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
390200000X
CA
Enumeration date
03/06/2015
Last updated
08/25/2020
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