| Nooksack Cabin Creek Youth Program | |
|
3003 Cabin Creek Road Easton WA 98925 | |
| (425) 508-3967 | |
| Not Available |
| Full Name | Nooksack Cabin Creek Youth Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3003 Cabin Creek Road, Easton, Washington |
| Authorized Official Name and Position | Kevin Collins (DIRECTOR OF TREATMENT SERVICES) |
| Authorized Official Contact | 3609667704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nooksack Cabin Creek Youth Program Po Box 157 Deming WA 98244-0157 Ph: (360) 966-7704 | Nooksack Cabin Creek Youth Program 3003 Cabin Creek Road Easton WA 98925 Ph: (425) 508-3967 |
| NPI Number | 1063739738 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063739738 | NPI | - | NPPES |
| 1993013 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Nooksack Cabin Creek Behavioral Health Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Cabin Creek Road, Easton, WA 98925 Phone: 425-508-3967 |