Organization
TRINITY BEHAVIORAL HEALTH LLC
Active
Other names
Trinity Recovery Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARY CRINER SUDP (SUBSTANCE USE DISORDER PROFESSIONAL)
(360) 964-4138
Entity
Organization
Contact information
Practice address
138 S 1ST ST STE 6, MONTESANO, WA 98563-3623
(360) 964-4138
(360) 964-4143
Mailing address
138 S 1ST ST STE 6, MONTESANO, WA 98563-3623
(360) 964-4138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150615
—
WA
Enumeration date
03/13/2020
Last updated
07/06/2021
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