Provider Demographics
NPI:1649342866
Name:COMMUNITY RESEARCH FOUNDATION, INC.
Entity type:Organization
Organization Name:COMMUNITY RESEARCH FOUNDATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-275-0822
Mailing Address - Street 1:460 N. MAGNOLIA AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020
Mailing Address - Country:US
Mailing Address - Phone:619-440-5133
Mailing Address - Fax:619-440-8522
Practice Address - Street 1:460 N. MAGNOLIA AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020
Practice Address - Country:US
Practice Address - Phone:619-440-5133
Practice Address - Fax:619-440-8522
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY RESEARCH FOUNDATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-14
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3766Medicaid
CA3766Medicaid