| Eastern Washington Addiction Services, Inc | |
|
1744 Leisure Ln Yakima WA 98908-9224 | |
| (509) 457-2169 | |
| Not Available |
| Full Name | Eastern Washington Addiction Services, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1744 Leisure Ln, Yakima, Washington |
| Authorized Official Name and Position | Kathleen Elizabeth Blankenship (OWNER) |
| Authorized Official Contact | 5094572169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Washington Addiction Services, Inc 1744 Leisure Ln Yakima WA 98908-9224 Ph: (509) 945-2585 | Eastern Washington Addiction Services, Inc 1744 Leisure Ln Yakima WA 98908-9224 Ph: (509) 457-2169 |
| NPI Number | 1376957860 |
|---|---|
| Provider Enumeration Date | 06/12/2014 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376957860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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