Organization
SPECIALTY SERVICES 2 LLC
Active
Other names
SSII LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MUNDY (CONTROLLER)
(509) 209-8822
Entity
Organization
Contact information
Practice address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 477-4790
Mailing address
PO BOX 141106, SPOKANE VALLEY, WA 99214-1106
(509) 232-5766
(509) 242-1867
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
603230607
WA
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
12/29/2014
Last updated
11/05/2024
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