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Crystal Jane Andrews
Children's Substance Abuse Rehabilitation Facility in Spokane, Washington
NPI 1962921411

Crystal Jane Andrews is a Children's Substance Abuse Rehabilitation Facility based in Spokane, WA and is specialized in Substance Abuse Treatment, Children. Crystal Jane Andrews practices in Spokane, WA. The NPI Number for Crystal Jane Andrews is 1962921411 and holds a License No. CO60717035 (Washington).

The current practice location address for Crystal Jane Andrews is 628 S Cowley St, Spokane, WA and can be reached out via phone at 509-624-3227.

Location: 628 S Cowley St, Spokane, WA, 99202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962921411
Provider Name
Crystal Jane Andrews
Credential
Provider Entity Type
Individual
Gender
Female
Address
628 S Cowley St, Spokane, WA, 99202
Phone Number
509-624-3227
Fax Number
Provider Enumeration Date
09/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO60717035 01 WA WASHINGTON STATE REGISTRATION
institution
Provider Business Practice Location Address Details
Address
628 S Cowley St
City
Spokane
State
Washington
Zip
99202-1377
Phone Number
509-624-3227
Fax Number
person
Provider Business Mailing Address Details
Address
628 S Cowley St
City
Spokane
State
Washington
Zip
99202-1377
Phone Number
509-624-3227
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.
CO60717035 (Washington)
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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