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Dominique Suzanne Crawford
Children's Substance Abuse Rehabilitation Facility in Martinez, California
NPI 1982807665

Dominique Suzanne Crawford is a Children's Substance Abuse Rehabilitation Facility based in Martinez, CA and is specialized in Substance Abuse Treatment, Children. Dominique Suzanne Crawford practices in Martinez, CA. The NPI Number for Dominique Suzanne Crawford is 1982807665 and holds a License No. 070012BN (California).

The current practice location address for Dominique Suzanne Crawford is 4645 Pacheco Blvd, Martinez, CA and can be reached out via phone at 925-646-9270 and via fax at 925-646-9276.

Location: 4645 Pacheco Blvd, Martinez, CA, 94553-0110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982807665
Provider Name
Dominique Suzanne Crawford
Credential
Provider Entity Type
Individual
Gender
Female
Address
4645 Pacheco Blvd, Martinez, CA, 94553-0110
Phone Number
925-646-9270
Fax Number
925-646-9276
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4645 Pacheco Blvd
City
Martinez
State
California
Zip
94553-3625
Phone Number
925-646-9270
Fax Number
925-646-9276
person
Provider Business Mailing Address Details
Address
4645 Pacheco Blvd
City
Martinez
State
California
Zip
94553-3625
Phone Number
925-646-9270
Fax Number
925-646-9276
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
070012BN (California)
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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