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NPI Profile for JIMMY SPEARS in FAIRBANKS, AK.
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1669681599 |
|
| Status | Active | |
| Credentials | CDCI | |
| Entity | Individual | |
| Enumeration date | 05/21/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JIMMY SPEARS
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JIMMY SPEARS, CDCI