Organization
YAKAMA NATION COMPREHENSIVE COMMUNITY ALCOHOLISM PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL SCOTT (PROGRAM MANAGER)
(509) 865-5121
Entity
Organization
Contact information
Practice address
20 GUNNYON RD., TOPPENISH, WA 98948
(509) 865-5121
Mailing address
PO BOX 523, 20 GUNNYON RD., TOPPENISH, WA 98948
(509) 865-5121
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CO 60181087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 60181087
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/16/2010
Last updated
11/16/2010
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