Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crc Home Avenue Clinic

Organization Methadone Clinic · NPI 1285986430

Crc Home Avenue Clinic is a Methadone Clinic in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

3940 Home Ave
San Diego, CA 92105-5952
Phone: (619) 262-8800
Fax: (619) 266-7405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 37-07 (CA)

Record details

NPI number1285986430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandee Richardson — Program Director · (619) 262-8000
NPI enumeratedOctober 12, 2012
Last updated in NPPESOctober 12, 2012
Mailing address3940 Home Ave, San Diego, CA 92105-5952

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