Organization
COMMUNITY RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY M HAMES BS,CDP (DIRECTOR)
(509) 965-9310
Entity
Organization
Contact information
Practice address
505 N 4TH ST, SUITE # 7, YAKIMA, WA 98901-2435
(509) 965-5310
(509) 210-2436
Mailing address
505 N 4TH ST, SUITE # 7, YAKIMA, WA 98901-2435
(509) 965-5310
(509) 210-2436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39108100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712-12459
—
WA
Enumeration date
02/07/2007
Last updated
01/14/2010
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