Organization
ISLAND COUNTY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUSTINE JADE MONTOYA (FINANCIAL COORDINATOR)
(360) 679-7676
Entity
Organization
Contact information
Practice address
31640 SR 20, SUITE 1, OAK HARBOR, WA 98277-3128
(360) 679-7676
(360) 682-5947
Mailing address
31640 SR 20, SUITE 1, OAK HARBOR, WA 98277-3128
(360) 679-7676
(360) 682-5947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
151000298
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
151000298
WA
Other
Enumeration date
07/07/2011
Last updated
10/13/2011
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