CRC Recovery Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

CRC RECOVERY INC

Doing business as

Western Michigan Treatment Center

Practice address

3584 Fairlanes Ave SW
Ste 2
Grandville, MI 49418-1583

Phone

(855) 380-8272

NPI assigned

Sep 25, 2015

Organization subpart

Yes

Parent organization

ACADIA HEALTHCAREAs reported in NPPES

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) 861-6000

Specialties & licenses 2

Addresses

Other names 1

• Western Michigan Treatment Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• CRC Recovery Inc

  • Methadone Clinic
  • Ann Arbor, MI
  • NPI 1396149068

  0345507042

  Same PAC ID
• CRC Recovery, Inc.

  • Methadone Clinic
  • Cedar Rapids, IA
  • NPI 1821418096

  0345507042

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• CRC Recovery Inc

  • Methadone Clinic
  • Ann Arbor, MI
  • NPI 1396149068

  O20200123002384

  Same enrollment
• CRC Recovery, Inc.

  • Mental Health Counselor
  • Grandville, MI
  • NPI 1710453485

  O20171206000164

  Same enrollment

Part of

Haven Behavioral Healthcare

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Marie Wilson, D.O.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Grand Rapids, MI
  • NPI 1093934267
  Medicare reassignment NPD
• Joseph Todd Jones

  • Clinical Psychologist
  • Vista, CA
  • NPI 1912329970

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1942670559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-710-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 FAIRLANES AVE SW",
            "address_2": "STE 2",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181583",
            "telephone_number": "855-380-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRC RECOVERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2015-09-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "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": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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": "Western Michigan Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Michigan Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie J Cornwall, PT
• Sandra L Cottingham, MD
• David O Cramer, DDS,MS,PC
• Josalyn Marie Cramer
• Chastity Dawn Crawford
• CRC Recovery, Inc.
• Mackenzie Cregg, BEHAVIOR TECHNICIAN
• Andrew James Crisco, PSYD
• August Jay Crowley
• Megan Marie Cruce, O.D.

• Methadone Clinic in Grandville, MI
• Providers in Grandville, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.

Verify at the official NPI Registry.