Organization
CRC HEALTH GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL HERSCHMAN (OTD DIVISION PRESIDENT)
(760) 918-8700
Entity
Organization
Contact information
Practice address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
(619) 718-9890
Mailing address
7020 FRIARS RD, SAN DIEGO, CA 92108-1126
(619) 718-9890
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
37-15
CA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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