Organization
CRASH, INC.
Active
Other names
Community Resources and Self Help
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HIMMELBERGER (EXECUTIVE DIRECTOR)
(619) 297-5131
Entity
Organization
Contact information
Practice address
220 EUCLID AVE, SUITE 120, SAN DIEGO, CA 92114-3644
(619) 263-6663
(619) 263-0655
Mailing address
1081 CAMINO DEL RIO S, SUITE 129, SAN DIEGO, CA 92108-3542
(619) 297-5131
(619) 296-3846
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
370024NN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8755
STATE OF CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
CA
Enumeration date
02/25/2010
Last updated
03/13/2019
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