Organization
WEST SOUND TREATMENT CENTER (POULSBO)
Active
Parent organization
WEST SOUND TREATMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST SOUND TREATMENT CENTER
Authorized official
ROBIN B O'GRADY CDP (EXECUTIVE DIRECTOR)
(360) 876-9430
Entity
Organization
Contact information
Practice address
19351 8TH AVE NE, SUITE # 204, POULSBO, WA 98370-8710
(360) 876-9430
(360) 876-0713
Mailing address
19351 8TH AVE NE, SUITE # 204, POULSBO, WA 98370-8710
(360) 876-9430
(360) 876-0713
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
600554448
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18169700
—
WA
Enumeration date
04/02/2015
Last updated
04/02/2015
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