Organization
CRC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK HASTINGS MA CADAAC (DIRECTOR)
(619) 843-8067
Entity
Organization
Contact information
Practice address
7020 FRIARS ROAD, SAN DIEGO, CA 92108
(619) 718-9890
(619) 718-9897
Mailing address
7020 FRIARS ROAD, SAN DIEGO, CA 92108
(619) 718-9890
(619) 718-9897
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
101YA0400X
CA
302R00000X
Health Maintenance Organization
Primary
RI-B0911020953
CA
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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