institution
Crc Home Avenue Clinic
Methadone Clinic in San Diego, California
NPI 1285986430

Crc Home Avenue Clinic is a Methadone Clinic based in San Diego, CA and is specialized in Methadone. Crc Home Avenue Clinic practices in San Diego, CA. The NPI Number for Crc Home Avenue Clinic is 1285986430 and holds a License No. 37-07 (California).

The current practice location address for Crc Home Avenue Clinic is 3940 Home Ave, San Diego, CA and can be reached out via phone at 619-262-8800 and via fax at 619-266-7405.

Location: 3940 Home Ave, San Diego, CA, 92105-5952
institution
Provider Profile Details
NPI Number
1285986430
Provider Name
Crc Home Avenue Clinic
Credential
Provider Entity Type
Organization
Address
3940 Home Ave, San Diego, CA, 92105-5952
Phone Number
619-262-8800
Fax Number
619-266-7405
Provider Enumeration Date
10/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3940 Home Ave
City
State
Zip
92105-5952
Phone Number
619-262-8800
Fax Number
619-266-7405
person
Provider Business Mailing Address Details
Address
3940 Home Ave
City
State
Zip
92105-5952
Phone Number
619-262-8800
Fax Number
619-266-7405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
37-07 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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