Organization Name: | CRYSTAL SMITH BEHAVIORIAL HEALTH |
NPI Number: | 1225310865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRYSTAL SMITH (DIRECTOR) |
Mailing Address: | 414 W Soledad Ave Suite 500 Hagatna |
State: | GU US |
Postal Code: | 969105061 |
Phone Number: | 3125549934 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 20992 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |