JESSIE CRAWFORD RECOVERY CENTER INC. NPI 1124372586

NPI Information

JESSIE CRAWFORD RECOVERY CENTER, INC. is a rehabilitation and substance use disorder clinic center in Madison, WI. JESSIE CRAWFORD RECOVERY CENTER, INC. NPI is 1124372586. The provider is registered as an organization entity type.

The provider's business location address is:

2101 N SHERMAN AVE
MADISON, WI
ZIP 53704-932
Phone: (608) 241-4285
Fax: (608) 241-4286

The provider's authorized official is Lora Hudson .
The authorized official title is Office Manager and has the following contact phone number (608) 241-4285.

The enumeration date for this NPI number is 11/6/2012 and was last updated on 12/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.