Organization
COMMUNITY RESEARCH FOUNDATION, INC.
Active
Organization
COMMUNITY RESEARCH FOUNDATION, INC.
Active
Other names
South Bay IMPACT
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FARMER (CHIEF ADMINISTRATIVE OFFICER)
(619) 275-0822
Entity
Organization
Contact information
Practice address
855 3RD AVE STE 1110, CHULA VISTA, CA 91911-1350
(619) 934-5770
Mailing address
1202 MORENA BLVD, SAN DIEGO, CA 92110-3841
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37RR
—
CA
Enumeration date
11/13/2017
Last updated
12/05/2022
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