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Organization

EASTSIDE RECOVERY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL WEINSTEIN CDP (OWNER)
(425) 454-0839
Entity
Organization

Contact information

Practice address
1715 114TH AVE SE STE 204, BELLEVUE, WA 98004-6906
(425) 454-0839
Mailing address
1715 114TH AVE SE STE 204, BELLEVUE, WA 98004-6906
(425) 454-0839

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
00-037201
WA

Other

Enumeration date
06/23/2017
Last updated
07/21/2022
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