Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
CRISIS RECOVERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASST SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3760 PIPER ST STE LL139, ANCHORAGE, AK 99508-4683
(907) 563-5006
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(907) 563-5006
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
08/12/2025
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