Organization
REDWOOD RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL KOSTRIVAS (OWNER)
(262) 565-8938
Entity
Organization
Contact information
Practice address
717 NE 61ST ST STE 102, VANCOUVER, WA 98665-8755
(360) 523-2997
Mailing address
717 NE 61ST ST STE 102, VANCOUVER, WA 98665-8755
(360) 523-2997
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
200568
WA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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