| Beacon Of Hope, Incorporated | |
|
686 Lake St Ste 400 Port Townsend WA 98368-2282 | |
| (360) 385-3876 | |
| (360) 385-7288 |
| Full Name | Beacon Of Hope, Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 686 Lake St Ste 400, Port Townsend, Washington |
| Authorized Official Name and Position | Clarence William Wetherald (COUNSELOR) |
| Authorized Official Contact | 3603853866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Of Hope, Incorporated 686 Lake St Ste 400 Port Townsend WA 98368-2282 Ph: (360) 385-3876 | Beacon Of Hope, Incorporated 686 Lake St Ste 400 Port Townsend WA 98368-2282 Ph: (360) 385-3876 |
| NPI Number | 1972034122 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972034122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CP60235589 (Washington) | Primary |
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