Organization
COMMUNITY RESEARCH FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FARMER PHD (CAO)
(619) 275-0822
Entity
Organization
Contact information
Practice address
1202 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3842
(619) 275-0822
(619) 275-1422
Mailing address
1202 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3842
(619) 275-0822
(619) 275-1422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2006
Last updated
02/22/2021
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