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Shane's Crib
Substance Abuse Rehabilitation Facility in Jesup, Georgia
NPI 1386035335

Shane's Crib is a Substance Abuse Rehabilitation Facility based in Jesup, GA. Shane's Crib practices in Jesup, GA. The NPI Number for Shane's Crib is 1386035335 and holds a License No. CSW003662 (Georgia).

The current practice location address for Shane's Crib is 1303 South 1St Street, Jesup, GA and can be reached out via phone at 912-385-2583 and via fax at 912-385-2583.

Location: 1303 South 1St Street, Jesup, GA, 31545-7757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386035335
Provider Name
Shane's Crib
Credential
Provider Entity Type
Organization
Address
1303 South 1St Street, Jesup, GA, 31545-7757
Phone Number
912-385-2583
Fax Number
912-385-2583
Provider Enumeration Date
02/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1303 South 1St Street
City
Jesup
State
Georgia
Zip
31545
Phone Number
912-385-2583
Fax Number
912-385-2583
person
Provider Business Mailing Address Details
Address
1303 South 1St Street
City
Jesup
State
Georgia
Zip
31545
Phone Number
912-385-2583
Fax Number
912-385-2583
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
CSW003662 (Georgia)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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