Organization
CREW CASE MANAGEMENT AND CONSULTING SERVICES SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MARIE CATHERINE HASKINS CASE MANAGER (MANAGING MEMBER)
(951) 303-4304
Entity
Organization
Contact information
Practice address
210 W STONE AVE STE LR1, GREENVILLE, SC 29609-5493
(864) 400-9631
Mailing address
42231 COSMIC DR, TEMECULA, CA 92592-3205
(951) 303-4304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/23/2019
Last updated
06/03/2020
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