Organization
PHOENIX RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL RUTH HUNDAHL CDP (OWNER)
(360) 848-8437
Entity
Organization
Contact information
Practice address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 848-8437
(360) 848-5250
Mailing address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 848-8437
(360) 848-5250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
29114900
WA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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