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Jessie Crawford Recovery Center, INC

Peer Specialist in Madison, WI. Organization (NPI-2).

NPI number1801664321
StatusActive
Last updated in NPPESDec 26, 2023

Details

NPI
1801664321
Entity type
Organization (NPI-2)
Legal business name
Jessie Crawford Recovery Center, INC
Organization subpart
No
Enumeration date
Dec 14, 2023
Certification date
Dec 26, 2023
Last updated
Dec 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

2801 International Ln Ste 205
Madison, WI 53704-3152

Phone 608-241-4285

Mailing address

2801 International Ln Ste 205
Madison, WI 53704-3152

Phone 608-241-4285

Authorized official

Anita Hoffman Makuluni
Certified Peer Support Specialist
6082414285

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