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3130 Varney Ln Ste 103&104 Pasco WA 99301-3987 | |
| (760) 710-0968 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 3130 Varney Ln Ste 103&104, Pasco, Washington |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (760) 710-0968 | 3130 Varney Ln Ste 103&104 Pasco WA 99301-3987 Ph: (760) 710-0968 |
| NPI Number | 1851142772 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851142772 | NPI | - | NPPES |
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