Community Recovery Resources

LBN: Granite Wellness Centers
Community Recovery Resources is an health care organization with primary practice located at 12183 Locksley Ln Ste 101-105 , Auburn CA 95602-2004. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Granite Wellness Centers can be contacted via phone (530) 885-1961, or through Ebbert, Elaine via phone (530) 878-5166.

Contact Information

Primary practice address
12183 Locksley Ln Ste 101-105 Auburn CA 95602-2004
Phone: (530) 885-1961
Fax: (530) 889-1304
Website:
Map and Directions
Authorized official contact:
Name: Ebbert, Elaine
Phone: (530) 878-5166

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 310019AN California

Profile Details

NPI number 1710257704
LBN Legal business name Granite Wellness Centers
DBA Doing business as Community Recovery Resources
Authorized official Ebbert, Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2012
Last updated Sep 22nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710257704 NPPES
California Other 31AC MEDI-CAL

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