Organization
OLALLA RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PARIS LYNN HONSOWETZ (ADMISSION BILLING SPECIALIST)
(253) 857-6101
Entity
Organization
Contact information
Practice address
12851 LALA COVE LN SE, OLALLA, WA 98359-9664
(253) 851-6201
(253) 857-3993
Mailing address
12851 LALA COVE LN SE, OLALLA, WA 98359-9664
(253) 851-6201
(253) 857-3993
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
012089
WA
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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