| United Nw Recovery Center | |
|
904 S. 3rd Street Mt. Vernon WA 98273 | |
| (360) 856-6300 | |
| (564) 209-7048 |
| Full Name | United Nw Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 904 S. 3rd Street, Mt. Vernon, Washington |
| Authorized Official Name and Position | Jackie Elaine Washbish (DIRECTOR) |
| Authorized Official Contact | 3608566300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Nw Recovery Center 904 S. 3rd Street Mt. Vernon WA 98273 Ph: (360) 856-6300 | United Nw Recovery Center 904 S. 3rd Street Mt. Vernon WA 98273 Ph: (360) 856-6300 |
| NPI Number | 1336303387 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336303387 | NPI | - | NPPES |
| 1336303357 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (Washington) | Secondary |