OrganizationActive
Community Research Foundation
NPI 1114248275 · Mental Illness Community Based Residential Treatment Facility · El Cajon, CA
Provider details
- NPI number
- 1114248275
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie Evans, Administrative Program Aid(619) 579-8685
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1664 Broadway
El Cajon, CA 92021-5201
Phone: (619) 579-8685
Fax: (619) 579-1969
Street-level locationGet directions
Mailing address
1664 Broadway
El Cajon, CA 92021-5201
Other names (DBA / former)
- Doing business as
- Halcyon Center
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2020-08-25
- Certified
- 2020-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.