Organization
CRC HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE GARRETT CCDN (CLINIC DIRECTOR)
(619) 718-9890
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
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
106470
CA
Other
Enumeration date
04/27/2007
Last updated
07/17/2008
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