Organization
COMMUNITY RESEARCH FOUNDATION, INC.
Active
Other names
Step Forward South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK FARMER (CAO)
(619) 275-0822
Entity
Organization
Contact information
Practice address
1105 BROADWAY STE 207, CHULA VISTA, CA 91911-2767
(619) 425-5609
Mailing address
1105 BROADWAY STE 207, CHULA VISTA, CA 91911-2767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37RP
—
CA
Enumeration date
08/03/2017
Last updated
02/23/2021
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