Organization
INTEGRITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO CASTILLEJA CDPT (ADMINISTRATOR)
(509) 882-8012
Entity
Organization
Contact information
Practice address
303 DIVISION ST, GRANDVIEW, WA 98930-1358
(509) 882-8012
(509) 882-8802
Mailing address
303 DIVISION ST, GRANDVIEW, WA 98930-1358
(509) 882-8012
(509) 882-8802
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
39 1532 00
WA
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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