Organization
PORT GARDNER BAY RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLI J MCCABE CDP (OWNER)
(425) 252-4656
Entity
Organization
Contact information
Practice address
2722 COLBY AVE, SUITE 424, EVERETT, WA 98201-3557
(425) 252-4656
(425) 252-4308
Mailing address
2722 COLBY AVE, SUITE 424, EVERETT, WA 98201-3557
(425) 252-4656
(425) 252-4308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
31114400
WA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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