| Grant County Prevention And Recovery Center | |
|
1525 E Wheeler Rd Moses Lake WA 98837-9753 | |
| (509) 765-5402 | |
| (509) 766-2589 |
| Full Name | Grant County Prevention And Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1525 E Wheeler Rd, Moses Lake, Washington |
| Authorized Official Name and Position | Jennifer Lane (ADMINISTRATOR/COUNTY COORDINATOR) |
| Authorized Official Contact | 5097655402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant County Prevention And Recovery Center Po Box 1217 Moses Lake WA 98837-0185 Ph: (509) 765-5402 | Grant County Prevention And Recovery Center 1525 E Wheeler Rd Moses Lake WA 98837-9753 Ph: (509) 765-5402 |
| NPI Number | 1982792537 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982792537 | NPI | - | NPPES |
| 1990282 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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