Organization
SKAGIT RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN R ERICKSON (EXECUTIVE DIRECTOR)
(360) 428-7835
Entity
Organization
Contact information
Practice address
1905 CONTINENTAL PL, MOUNT VERNON, WA 98273-5633
(360) 428-7835
(360) 848-9225
Mailing address
1905 CONTINENTAL PL, MOUNT VERNON, WA 98273-5633
(360) 848-9225
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06357
REGENCE BLUE SHIELD
WA
01
—
1021475
COMMUNITY HEALTH PLAN
WA
05
—
1990423
—
WA
Enumeration date
01/22/2007
Last updated
09/26/2007
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