Organization
PACIFIC NORTH RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINA SURUJON (LICENSING & CONTRACTING DIRECTOR)
(754) 300-3120
Entity
Organization
Contact information
Practice address
888 S HILLHURST RD, RIDGEFIELD, WA 98642-9063
(754) 300-3120
(888) 919-4431
Mailing address
100 SE 3RD AVE, SUITE 1800, FT LAUDERDALE, FL 33394-0002
(754) 300-3120
(888) 919-4431
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
12/17/2024
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