MR. JIMMY SPEARS CDCI NPI 1669681599

NPI Information

MR. Jimmy Spears, CDCI is a substance abuse treatment and children substance abuse rehabilitation facility in Fairbanks, AK. The provider is 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. MR. Jimmy Spears, CDCI NPI is 1669681599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1027 EVERGREEN ST
FAIRBANKS, AK
ZIP 99709-306
Phone: (907) 451-8164

The enumeration date for this NPI number is 5/21/2007 and was last updated on 7/8/2007.

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:

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