Organization
CRC HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRY MENDEN APRN BC-FNP MSN (NURSE PRACTITIONER)
16197189890
Entity
Organization
Contact information
Practice address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
(161) 971-8989
Mailing address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
505812
CA
Other
Enumeration date
05/07/2007
Last updated
07/23/2008
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