Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY SPEARS, CDCI
Active Sole ProprietorMR. JIMMY SPEARS, CDCI is a Children's Substance Abuse Rehabilitation Facility healthcare provider located in FAIRBANKS, Alaska. NPI 1669681599 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · FAIRBANKS, AK
Registration Details
- NPI Number
- 1669681599
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.276796350983 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3323 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1027 EVERGREEN STFAIRBANKS, AK, 997094306Browse AK providers · Browse ZIP 99709
- Phone
- 9074518164
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
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.