Organization
DELOZIER RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M DELOZIER (OWNER)
(509) 469-5515
Entity
Organization
Contact information
Practice address
3907 CREEKSIDE LOOP, SUITE 110, YAKIMA, WA 98902-4879
(509) 469-5515
(509) 469-5517
Mailing address
3907 CREEKSIDE LOOP, SUITE 110, YAKIMA, WA 98902-4879
(509) 469-5515
(509) 469-5517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39-1197-00
WA
251B00000X
Case Management Agency
39-1197-00
WA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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