Organization
CRC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER JEROME SANFILIPPO AS DEGREE (COUNSELOR)
(619) 718-9890
Entity
Organization
Contact information
Practice address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
(619) 718-9890
(619) 718-9897
Mailing address
3038 CHAMOUNE AVE, SAN DIEGO, CA 92105-4334
(619) 251-9868
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
101YA0400X
CA
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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