Crc Home Avenue Clinic

LBN: Crc Home Avenue Clinic
Crc Home Avenue Clinic is an health care organization with primary practice located at 3940 Home Ave , San Diego CA 92105-5952. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Crc Home Avenue Clinic can be contacted via phone (619) 262-8800, or through Richardson, Sandee via phone (619) 262-8000.

Contact Information

Primary practice address
3940 Home Ave San Diego CA 92105-5952
Phone: (619) 262-8800
Fax: (619) 266-7405
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Sandee MS
Phone: (619) 262-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 37-07 California

Profile Details

NPI number 1285986430
LBN Legal business name Crc Home Avenue Clinic
DBA Doing business as
Authorized official Richardson, Sandee MS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2012
Last updated Oct 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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