Provider Demographics
NPI:1194705236
Name:CHEMICAL ADDICTIONS RECOVERY EFFORT, INC.
Entity type:Organization
Organization Name:CHEMICAL ADDICTIONS RECOVERY EFFORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-872-7676
Mailing Address - Street 1:4000 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6257
Mailing Address - Country:US
Mailing Address - Phone:850-872-7676
Mailing Address - Fax:850-872-9202
Practice Address - Street 1:4000 E 3RD ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-6257
Practice Address - Country:US
Practice Address - Phone:850-872-7676
Practice Address - Fax:850-872-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0203AD234501101YA0400X, 1041C0700X
251S00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility