Provider Demographics
NPI:1215364849
Name:CRI-HELP
Entity Type:Organization
Organization Name:CRI-HELP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTAKE SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NARCISO
Authorized Official - Middle Name:JOHNNY
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:JR
Authorized Official - Credentials:CAADE
Authorized Official - Phone:323-222-1440
Mailing Address - Street 1:11027 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2431
Mailing Address - Country:US
Mailing Address - Phone:818-985-8323
Mailing Address - Fax:323-222-1317
Practice Address - Street 1:11027 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2431
Practice Address - Country:US
Practice Address - Phone:818-985-8323
Practice Address - Fax:323-222-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN5254955324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACAADEMedicare UPIN