Individual provider · Type 1 NPI

Dominique Suzanne Crawford

Children's Substance Abuse Rehabilitation Facility · Martinez, CA

NPI number 1982807665 Active

Practice location

4645 Pacheco Blvd
Martinez, CA 94553-3625

Call (925) 646-9270 Map

Fax (925) 646-9276

Mailing address

PO Box 1109
Martinez, CA 94553-0110

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500X070012BN (CA)

Children's Substance Abuse Rehabilitation Facility: 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.

15 other providers at this address

About NPI 1982807665

Dominique Suzanne Crawford's National Provider Identifier is 1982807665, issued on Jun 8, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Martinez, CA. The record was last updated on Jul 8, 2007.