CRC RECOVERY, INC. (NPI# 1306078084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306078084 |
| Entity Type | Organization |
| Organization Name | CRC RECOVERY, INC. |
| Other Organization Name | LANSING COMPREHENSIVE TREATMENT CENTER |
| Practice Address |
2025 S Washington Ave Ste 210 Lansing MI 48910-0817 |
| Mailing Address |
6185 Paseo Del Norte, Ste 150 Carlsbad CA 92011 |
| Practice Telephone | 5173711111 |
| Mailing Telephone | 8552592288 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | KIM SANDERSON (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 8852592288 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
330325 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lansing Comprehensive Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1710453485 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave. Sw, Ste 2, Grandville, MI 49418-1583 | 2018-10-19 |
| 1396149068 | Crc Recovery, Inc. | Clinic/Center | 522 South Maple Road, Ann Arbor, MI 48103-3837 | 2014-10-09 |
| 1821418096 | Crc Recovery, Inc. | Counselor | 5005 Bowling St Sw Ste C, Cedar Rapids, IA 52404-5070 | 2014-04-25 |
| 1750857520 | Crc Recovery, Inc. | Counselor | 522 S Maple Rd, Ann Arbor, MI 48103-3837 | 2018-10-19 |
| 1942670559 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave Sw, Ste 2, Grandville, MI 49418-1583 | 2015-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CRC RECOVERY, INC. | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
| Street Address |
2025 S WASHINGTON AVE STE 210 |
| City | LANSING |
| State | MI |
| Zip Code | 48910-0817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714078 | Veronica F Brown | Nurse Practitioner | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2020-09-15 |
| 1891307724 | Kristyn Marie Emery | Registered Nurse | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2020-08-21 |
| 1518583467 | Samantha Daly | Counselor | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2020-06-17 |
| 1992340780 | Nikole L Green | Licensed Practical Nurse | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2019-11-15 |
| 1700421591 | Katrina Joyce Smith | Licensed Practical Nurse | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2019-11-15 |
| 1104461987 | Natasha Hui | Registered Nurse | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2019-11-15 |
| 1932617040 | Ainslee Elnora Mcvay | Social Worker | 2025 S Washington Ave Ste 210, Lansing, MI 48910 | 2018-01-11 |
| 1801302989 | Melissa Eller | Case Manager/Care Coordinator | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2017-12-27 |
| 1578945135 | Loretta Brand | Counselor | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1942675426 | Eastern Clinic Pllc | Clinic/Center | 1555 Eastern Ave Se, Grand Rapids, MI 49507-2055 | 2015-12-09 |
| 1740653641 | Ann Arbor Treatment Services, LLC | Clinic/Center | 4673 Washtenaw Ave, Ann Arbor, MI 48108 | 2015-11-02 |
| 1902284193 | Therapeutics, LLC | Clinic/Center | 50222 Dennis Ct, Wixom, MI 48393-2023 | 2015-05-08 |
| 1578960480 | Changes1, Pllc | Clinic/Center | 19940 Conant, Ste A, B, & C, Detroit, MI 48234-1494 | 2014-11-21 |
| 1669874418 | The Brighton Center, Inc. | Clinic/Center | 2512 Harte Dr, Brighton, MI 48114-7002 | 2014-09-24 |
| 1275969990 | Harriet Alexander | Clinic/Center | 20724 Eureka Rd., Taylor, MI 48180 | 2013-09-26 |
| 1922383397 | Rainbow Center Inc. | Clinic/Center | 20724 Eureka Rd, Taylor, MI 48180-5313 | 2011-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.