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CRC HEALTH TREATMENT CLINICS LLC NPI 1770951527


NPI Information

NPI: 1770951527
Provider Name: CRC HEALTH TREATMENT CLINICS, LLC

Doing Business As: NORTH FLORIDA TREATMENT CENTER

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
6639 SOUTHPOINT PKWY
STE 108
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 438-7640
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CRC HEALTH TREATMENT CLINICS, LLC is a methadone clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CRC HEALTH TREATMENT CLINICS, LLC NPI is 1770951527. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Florida Treatment Center.

The provider's business location address is:

6639 SOUTHPOINT PKWY
STE 108
JACKSONVILLE, FL
ZIP 32216-041
Phone: (904) 438-7640
Fax: (904) 438-7656

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 716-9335.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 12/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/Behavioral HealthNo
3261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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