Organization
KITSAP COUNTY JUVENILE DEPARTMENT
Active
Parent organization
KITSAP COUNTY
Other names
Kitsap Adolescent Recovery Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
KITSAP COUNTY
Authorized official
MS. NANCY J WILSON (ADMINISTRATIVE SERVICES MANAGER)
(360) 337-5401
Entity
Organization
Contact information
Practice address
1338 SW OLD CLIFTON RD, PORT ORCHARD, WA 98367-9113
(360) 337-5401
(360) 337-5404
Mailing address
1338 SW OLD CLIFTON RD, PORT ORCHARD, WA 98367-9113
(360) 337-5401
(360) 337-5404
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
18006700
WA
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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