CRC HEALTH TREATMENT CLINICS, LLC (NPI# 1902405749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902405749 |
| Entity Type | Organization |
| Organization Name | CRC HEALTH TREATMENT CLINICS, LLC |
| Practice Address |
4553 Watkins Street Pace FL 32571-2511 |
| Mailing Address |
6183 Paseo Del Norte Suite 200 Carlsbad CA 92011-1155 |
| Practice Telephone | 8552592288 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | KIM SANDERSON (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Panhandle Comprehensive Treatment Clinics, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235675125 | Crc Health Treatment Clinics, LLC | Anesthesiology | 213 Midland Blvd., Shelbyville, KY 40065-7791 | 2017-01-16 |
| 1770951527 | Crc Health Treatment Clinics, LLC | Counselor | 6639 Southpoint Pkwy, Ste 108, Jacksonville, FL 32216-8041 | 2015-09-10 |
| Street Address |
4553 WATKINS STREET |
| City | PACE |
| State | FL |
| Zip Code | 32571-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826727 | Better Choices Clinic LLC | Clinic/Center | 8910 Miramar Pkwy Ste 309, Miramar, FL 33025-4188 | 2019-02-01 |
| 1700396090 | Palm Beach Drug Testing, LLC. | Clinic/Center | 2809 Poinsettia Ave Ste H, West Palm Beach, FL 33407-5426 | 2017-10-02 |
| 1487172797 | Premier Recovery Institute LLC | Clinic/Center | 1580 Santa Barbara Blvd Ste C, The Villages, FL 32159-6828 | 2017-09-07 |
| 1467838706 | Metro Treatment of Florida, Lp | Clinic/Center | 590 Ellis Rd S, Bldg. 4, Jacksonville, FL 32254-3555 | 2015-08-10 |
| 1851795157 | Metro Treatment of Texas, Lp | Clinic/Center | 8529 Southpark Cir Ste 270, Orlando, FL 32819-9017 | 2014-10-15 |
| 1033546080 | River Region Human Services | Clinic/Center | 2055 Reyko Rd, Suite 101, Jacksonville, FL 32207-2822 | 2013-10-07 |
| 1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
| 1831686765 | Colonial Management Group | Clinic/Center | 8800 49th St N Ste 106, Pinellas Park, FL 33782-5332 | 2018-04-17 |
| 1629597869 | Garden Life Wellness, LLC | Clinic/Center | 401 N Rosemary Ave, West Palm Beach, FL 33401 | 2017-09-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.