FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER – NPI #1396400263
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Health Care Provider Taxonomy Code for Clinic/Center

FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER is an AHC clinic located in TAMARAC, FL. NPPES has assigned the NPI number 1396400263 to FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER on November 04, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER” is a dba name, the actual legal business name for this organization is CRC HEALTH TREATMENT CLINICS, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

The NPI profile was last updated on Dec 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER below.

NPI Profile for
CRC HEALTH TREATMENT CLINICS, LLC

NPI Number
1396400263
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRC HEALTH TREATMENT CLINICS, LLC
Doing Business As (dba): FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER
Primary location
5481 N. STATE ROAD 7
TAMARAC, FL 33319
Phone: (754) 778-9100 Fax: (954) 714-2940
Mailing address
6183 PASEO DEL NORTE
SUITE 200
CARLSBAD, CA 92011-1155
Phone: (855) 259-2288 Fax:
Organization Subpart
Yes - FT. LAUDERDALE COMPREHENSIVE TREATMENT CENTER is subpart of another organization.
Authorized Official
BRIAN FARLEY
VP & SECRETARY
Phone: (615) 716-9335
Updated
Certification Date
Dec 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2800X
- Clinic/Center / Methadone (Primary)
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1066.1
Content Type
CSV
Affiliation
Y
Endpoint Location
8215 W 108TH TER,
OVERLAND PARK, KS 77025-1669