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Organization

CAPITAL CLUBHOUSE

Active
Other names
Capital Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA RACHELE MCCOY (OPERATIONS MANAGER)
(360) 357-2582
Entity
Organization

Contact information

Practice address
1000 CHERRY ST SE, OLYMPIA, WA 98501-1433
(360) 357-2582
(360) 357-2821
Mailing address
1000 CHERRY ST SE, OLYMPIA, WA 98501-1433
(360) 357-2582
(360) 357-2821

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
601-217-168
WA
261QP2300X
Primary Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002974
WA
Enumeration date
03/06/2009
Last updated
06/03/2021
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