Organization
ORANGE GROVE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTIAGO NARANJO (EXECUTIVE DIRECTOR)
(425) 341-3117
Entity
Organization
Contact information
Practice address
1281 S JACKSON AVE, TACOMA, WA 98465-1316
(425) 341-3117
Mailing address
PO BOX 65787, TACOMA, WA 98464-0019
(425) 341-3117
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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