Organization
YAKAMA NATION COMPREHENSIVE COMMUNITY ALCOHOLISM PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A. IKE (PROGRAM MANAGER)
(509) 865-5121
Entity
Organization
Contact information
Practice address
20 GUNNYON RD, TOPPENISH, WA 98948-0523
(509) 865-5121
(509) 865-4333
Mailing address
PO BOX 523, 20 GUNNYON RD., TOPPENISH, WA 98948-0523
(509) 865-5121
(509) 865-4333
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
39014200
WA
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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