CRC Health

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

101YA0400X Issued in CA

Legal business name

CRC HEALTH

Practice address

7020 Friars Rd
San Diego, CA 92108-1126

Phone

(619) 718-9890

Fax

(619) 718-9897

NPI assigned

Apr 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Peter Jerome Sanfilippo, AS DEGREE

Title

Counselor

Phone

(619) 718-9890

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437372778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 CHAMOUNE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921054334",
            "telephone_number": "619-251-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081126",
            "telephone_number": "619-718-9890",
            "fax_number": "619-718-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANFILIPPO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "619-718-9890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AS DEGREE"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Crawley, RDH
• Rheanna Genevieve Crawley
• Tiffany Phyllis Crawshaw, PSY.D.
• Amy Lauren Cray, PNP
• Jerome Crayton-Sherman II
• CRC Health
• CRC Health Group
• CRC Health Group
• CRC Health Group, Inc
• CRC Home Avenue Clinic

• Methadone Clinic in San Diego, CA
• Providers in San Diego, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.