Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CRYSTAL LYNN BUSHONG
Active Sole ProprietorMS. CRYSTAL LYNN BUSHONG is a Psychiatric Residential Treatment Facility healthcare provider located in PRESCOTT, Arizona. NPI 1508049230 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · PRESCOTT, AZ
Registration Details
- NPI Number
- 1508049230
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2007 (18.694737785645 yrs)
- Last Updated
- Dec 17, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
2105 DEMERSE AVEPRESCOTT, AZ, 863011013Browse AZ providers · Browse ZIP 86301
- Phone
- 9287178834
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.