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Organization
UNITED NORTHWEST RECOVERY CENTER INC.
Active
Organization
UNITED NORTHWEST RECOVERY CENTER INC.
Active
Other names
United NW Recovery Center, UNITED NORTHWEST RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE ELAINE WASHBISH SUDP (DIRECTOR)
(360) 856-6300
Entity
Organization
Contact information
Practice address
904 S. 3RD STREET, MT. VERNON, WA 98273
(360) 856-6300
(564) 209-7048
Mailing address
904 S. 3RD STREET, MT. VERNON, WA 98273
(360) 856-6300
(564) 209-7048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336303357
—
WA
Enumeration date
07/17/2008
Last updated
06/07/2024
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