Provider Demographics
NPI:1558614396
Name:CRC HEALTH GROUP
Entity Type:Organization
Organization Name:CRC HEALTH GROUP
Other - Org Name:RECOVERY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:RRW
Authorized Official - Phone:951-443-6081
Mailing Address - Street 1:2101 EAST 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-542-3581
Mailing Address - Fax:
Practice Address - Street 1:2101 E 1ST ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4007
Practice Address - Country:US
Practice Address - Phone:714-542-3581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management