Organization
CAPALINA CLINIC
Active
Other names
CRC Health
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP C. WILFORD RAS (COUNSELOR)
(206) 227-0959
Entity
Organization
Contact information
Practice address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
Mailing address
1560 CAPALINA RD, SAN MARCOS, CA 92069-1288
(760) 744-2104
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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