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106 N Elm St Grandview WA 98930-1009 | |
| (509) 402-9090 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 106 N Elm St, Grandview, Washington |
| Authorized Official Name and Position | Humberto C Rodriguez (FOUNDER) |
| Authorized Official Contact | 5093051542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1431 Grandview Pavement Rd Grandview WA 98930-9234 Ph: (509) 305-1542 | 106 N Elm St Grandview WA 98930-1009 Ph: (509) 402-9090 |
| NPI Number | 1801405642 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801405642 | NPI | - | NPPES |
| 2166923 | Medicaid | WA |
Yakima Valley Farm Workers Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Division St, Grandview, WA 98930 Phone: 509-882-4260 |