Organization
REFORM RECOVERY
Active
Organization
REFORM RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DELAGRANGE CP 60476132 (OWNER)
(360) 431-0763
Entity
Organization
Contact information
Practice address
220 EVERGREEN RD, KELSO, WA 98626-9705
(360) 431-0763
Mailing address
220 EVERGREEN RD, KELSO, WA 98626-9705
(360) 431-0763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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