Provider Demographics
NPI:1164903613
Name:CRC ED TREATMENT LLC
Entity Type:Organization
Organization Name:CRC ED TREATMENT LLC
Other - Org Name:CENTER FOR HOPE OF THE SIERRAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP & SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-861-6000
Mailing Address - Street 1:601 SIERRA ROSE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4048
Mailing Address - Country:US
Mailing Address - Phone:775-828-4949
Mailing Address - Fax:
Practice Address - Street 1:2501 HOLCOMB RANCH LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-9558
Practice Address - Country:US
Practice Address - Phone:775-828-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRC ED TREATMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-23
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility