Organization
CATHOLIC COMMUNITY SERVICES WESTERN WASHINGTON
Active
Other names
CCS RECOVERY CENTER-Snohomish
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M WELLS MA, CDP (DIRECTOR)
(360) 676-2187
Entity
Organization
Contact information
Practice address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
(425) 258-5275
Mailing address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2187
(360) 676-2162
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
31034400
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
31085700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990373
—
WA
05
—
1994771
—
WA
Enumeration date
04/07/2008
Last updated
05/14/2014
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