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Organization

CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON

Active
Other names
Burlington Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST)
(253) 761-3898
Entity
Organization

Contact information

Practice address
614 PETERSON RD, BURLINGTON, WA 98233-2606
(360) 757-0131
(360) 757-0136
Mailing address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2187
(360) 676-2162

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
29164800
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29164800
DSHS BEHAVORIAL HEALTH AGENCY NUMBER
WA
Enumeration date
05/15/2014
Last updated
10/15/2018
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