Crc Health Jeff Grand Treatment Center in Los Angeles - Methadone
Crc Health Jeff Grand Treatment Center - NPI 1700896511
Crc Health Jeff Grand Treatment Center is a Methadone in Los Angeles, California. Crc Health Jeff Grand Treatment Center practices all healthcare services and medical treatments related to Methadone. The NPI Number for Crc Health Jeff Grand Treatment Center is 1700896511. The last update date is 2020-08-22.
Crc Health Jeff Grand Treatment Center's current location address is 3130 S Hill St, Los Angeles, California. You can contact this provider via phone number 2137477267 and fax number 2137474835. The mailing address for Crc Health Jeff Grand Treatment Center is 3130 S Hill St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crc Health Jeff Grand Treatment Center |
|---|---|
| Address | 3130 S Hill St, Los Angeles, California |
| Phone Number | 2137477267 |
| Fax Number | 2137474835 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Battalia Jean Jaclyn |
| Credentials | BA RASI |
| Telephone Number | 2137477267 |
NPI Number Detail
| NPI Number | 1700896511 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3130 S Hill St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90007 |
| Phone Number | 2137477267 |
| Fax Number | 2137474835 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | CAADP19010 |
|
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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What is the unique 10-digit identification code assigned to Crc Health Jeff Grand Treatment Center by the Centers for Medicare & Medicaid Services?
The Crc Health Jeff Grand Treatment Center has been issued the NPI (National Provider Identifier) 1700896511, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Crc Health Jeff Grand Treatment Center's facilities are situated?
The facilities of Crc Health Jeff Grand Treatment Center are physically located at the following address: 3130 S Hill St, Los Angeles, CA, 90007.
What is Crc Health Jeff Grand Treatment Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crc Health Jeff Grand Treatment Center is Methadone, and the corresponding taxonomy classification code for this specialized field is 261Qm2800X.
When did the Crc Health Jeff Grand Treatment Center receive its 1700896511?
The Crc Health Jeff Grand Treatment Center was issued its 1700896511 on 2006-08-08, which is the date when the organization was assigned this unique identifier.
When was the Crc Health Jeff Grand Treatment Center's information last updated?
The Crc Health Jeff Grand Treatment Center's information was last updated on 2020-08-22.