Organization
LA CLINICA NOROESTE DE COMPORTAMIENTOS MODIFICADOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER MANUEL GALINDO CDP (CLINICAL DIRECTOR)
(509) 457-8554
Entity
Organization
Contact information
Practice address
917 PITCHER ST, YAKIMA, WA 98901-3063
(509) 457-8554
(509) 225-4682
Mailing address
917 PITCHER ST, YAKIMA, WA 98901-3063
(509) 457-8554
(509) 225-4682
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
39132900
WA
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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