Provider Demographics
NPI:1346564754
Name:MHCD LLC
Entity Type:Organization
Organization Name:MHCD LLC
Other - Org Name:THE CROSBY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:858-385-9399
Mailing Address - Street 1:555 W COUNTRY CLUB LN
Mailing Address - Street 2:SUITE C230
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-1226
Mailing Address - Country:US
Mailing Address - Phone:760-751-2889
Mailing Address - Fax:858-385-9456
Practice Address - Street 1:11828 RANCHO BERNARDO RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-1912
Practice Address - Country:US
Practice Address - Phone:858-385-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QM0850X
CA2008004482324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health