Organization
CLALLAM COUNTY JUVENILE AND FAMILY SERVICES
Active
Other names
TRUE STAR RECOVERY PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
PETE PETERSON (ADMINISTRATOR)
(360) 565-2628
Entity
Organization
Contact information
Practice address
1912 W 18TH ST, PORT ANGELES, WA 98363-5121
(360) 565-2621
(360) 457-4875
Mailing address
1912 W 18TH ST, PORT ANGELES, WA 98363-5121
(360) 565-2621
(360) 457-4875
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8022592
—
WA
01
—
91136
PSE HEALTHTRUST
WA
Enumeration date
09/27/2006
Last updated
08/22/2020
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