Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE SUZANNE CRAWFORD
Active Sole ProprietorDOMINIQUE SUZANNE CRAWFORD is a Children's Substance Abuse Rehabilitation Facility healthcare provider located in MARTINEZ, California. NPI 1982807665 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · MARTINEZ, CA
Registration Details
- NPI Number
- 1982807665
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2007 (19.225530590727 yrs)
- Last Updated
- Jul 8, 2007
- License
-
070012BN (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4645 PACHECO BLVDMARTINEZ, CA, 945533625Browse CA providers · Browse ZIP 94553
- Phone
- 9256469270
- Fax
- 9256469276
- 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.