Provider Demographics
NPI:1407690027
Name:CRC MANAGEMENT CORP
Entity type:Organization
Organization Name:CRC MANAGEMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-816-6863
Mailing Address - Street 1:99 NW 183RD ST
Mailing Address - Street 2:SUITE 108A
Mailing Address - City:NORTH MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4518
Mailing Address - Country:US
Mailing Address - Phone:305-816-6863
Mailing Address - Fax:305-816-6825
Practice Address - Street 1:99 NW 183RD ST
Practice Address - Street 2:SUITE 108A
Practice Address - City:NORTH MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4518
Practice Address - Country:US
Practice Address - Phone:305-816-6863
Practice Address - Fax:305-816-6825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2025-03-03
Deactivation Date:2025-02-24
Deactivation Code:
Reactivation Date:2025-03-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center