Organization
COMMUNITY RESEARCH FOUNDATION
Active
Other names
IMPACT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB MARCHETTI (CFO)
(619) 275-0822
Entity
Organization
Contact information
Practice address
1202 MORENA BLVD, SUITE 101, SAN DIEGO, CA 92110-3841
(619) 398-0355
(619) 398-0355
Mailing address
1260 MORENA BLVD, SUITE 100, SAN DIEGO, CA 92110-3889
(619) 398-0355
(619) 398-0350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37JC
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37JC
—
CA
Enumeration date
03/25/2016
Last updated
03/25/2016
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