Active NPI
CRC Health Treatment Clinics, LLC
- Methadone Clinic
- Tamarac, FL
National Provider Identifier
1396400263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- CRC HEALTH TREATMENT CLINICS, LLC
- Practice address
- 5481 N. State Road 7
Tamarac, FL 33319 - Phone
- (754) 778-9100
- Fax
- (954) 714-2940
- NPI assigned
- Nov 4, 2021
- Organization subpart
- Yes
- Parent organization
- ACADIA HEALTHCARE COMPANY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 716-9335
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
5481 N. State Road 7
Tamarac, FL 33319
Mailing address
6183 Paseo del Norte
Suite 200
Carlsbad, CA 92011-1155
Phone (855) 259-2288
Other names 1
- Ft. Lauderdale Comprehensive Treatment Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191227001879 | FL | Part B Supplier - Opioid Treatment Program (Otp) | 4082048061 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jacksonville, FL; Lakeland, FL; Longwood, FL; North Miami, FL; Pace, FL; Port Orange, FL; Port St Lucie, FL; Tamarac, FL |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Haven Behavioral Healthcare
Locations
6639 Southpoint Pkwy
Ste 108
Jacksonville, FL 32216
Phone (904) 438-7640
7664 S US Highway 1
Ste 2
Port St Lucie, FL 34952
Phone (772) 318-4110
5481 N State Road 7
Tamarac, FL 33319
Phone (754) 778-9100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Longwood, FL
- NPI 1376092809
-
- Addiction (Substance Use Disorder) Counselor
- North Miami, FL
- NPI 1043045966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1396400263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6183 PASEO DEL NORTE",
"address_2": "SUITE 200",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111155",
"telephone_number": "855-259-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5481 N. STATE ROAD 7",
"city": "TAMARAC",
"state": "FL",
"postal_code": "33319",
"telephone_number": "754-778-9100",
"fax_number": "954-714-2940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRC HEALTH TREATMENT CLINICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY, INC.",
"enumeration_date": "2021-11-04",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-716-9335"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ft. Lauderdale Comprehensive Treatment Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ft. Lauderdale Comprehensive Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.