CRC Health Jeff Grand Treatment Center

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

CAADP19010 Issued in CA

Legal business name

CRC HEALTH JEFF GRAND TREATMENT CENTER

Practice address

3130 S Hill St
Los Angeles, CA 90007

Phone

(213) 747-7267

Fax

(213) 747-4835

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jaclyn Jean Battalia, BA RASI

Title

Clinical Director

Phone

(213) 747-7267

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700896511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "213-747-7267",
            "fax_number": "213-747-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90007",
            "telephone_number": "213-747-7267",
            "fax_number": "213-747-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC HEALTH JEFF GRAND TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATTALIA",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "213-747-7267",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA RASI"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "CAADP19010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Crawford
• Mercy Joy Cray
• Nicole Shathnya Crayon, LCSW
• Tameka La-Shea Crayton-Cole, NON MEDICAL TRANSPOR
• Nichcalo Crayton
• Larissa Creado
• Arielle Creager
• Jennifer L Creamer, SLP
• Michael Collier Creamer, M.D.
• Steve Crear

• Methadone Clinic in Los Angeles, CA
• Providers in Los Angeles, 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.