# CLALLAM COUNTY JUVENILE AND FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRUE STAR RECOVERY PROGRAM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326139528
- **Authorized official:** PETE PETERSON (ADMINISTRATOR)
- **Authorized official phone:** (360) 565-2628

## Contact information

- **Practice address:** 1912 W 18TH ST, PORT ANGELES, WA 98363-5121
- **Practice address phone:** (360) 565-2621
- **Practice address fax:** (360) 457-4875
- **Mailing address:** 1912 W 18TH ST, PORT ANGELES, WA 98363-5121
- **Mailing address phone:** (360) 565-2621
- **Mailing address fax:** (360) 457-4875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8022592 | — | WA |
| 01 | — | 91136 | PSE HEALTHTRUST | WA |