| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 315 N 2nd St, Yakima, Washington |
| Authorized Official Name and Position | Shereen Hunt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5098377700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 376 Yakima WA 98907-0376 Ph: (509) 469-9366 | 315 N 2nd St Yakima WA 98901-2334 Ph: (509) 469-9366 |
| NPI Number | 1548306210 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 02/26/2022 |
| Certification Date | 02/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548306210 | NPI | - | NPPES |
| BHA.FS.60873169 | Other | WA | DOH LICENSE |
| 1013034 | Medicaid | WA |
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