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Mr. Jimmy Spears, CDCI
Children's Substance Abuse Rehabilitation Facility in Fairbanks, Alaska
NPI 1669681599

Jimmy Spears is a Children's Substance Abuse Rehabilitation Facility based in Fairbanks, AK and is specialized in Substance Abuse Treatment, Children. Jimmy Spears practices in Fairbanks, AK and has the professional credentials of CDCI. The NPI Number for Jimmy Spears is 1669681599 and holds a License No. 3323 (Alaska).

The current practice location address for Jimmy Spears is 1027 Evergreen St, Fairbanks, AK and can be reached out via phone at 907-451-8164.

Location: 1027 Evergreen St, Fairbanks, AK, 99707-1023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669681599
Provider Name
Jimmy Spears
Credential
CDCI
Provider Entity Type
Individual
Gender
Male
Address
1027 Evergreen St, Fairbanks, AK, 99707-1023
Phone Number
907-451-8164
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1027 Evergreen St
City
Fairbanks
State
Alaska
Zip
99709-4306
Phone Number
907-451-8164
Fax Number
person
Provider Business Mailing Address Details
Address
1027 Evergreen St
City
Fairbanks
State
Alaska
Zip
99709-4306
Phone Number
907-451-8164
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
3323 (Alaska)
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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