Reform Recovery
NPI #1154180131 in Kelso, Washington
Provider Information
- NPI Number
- 1154180131
- Entity Type
- Organization
- Organization Name
- Reform Recovery
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 13, 2024
- Last Updated
- Mar 13, 2024
Practice Location
- Address
- 220 EVERGREEN RD
- City
- Kelso
- State
- Washington
- ZIP Code
- 98626-9705
- Phone
- (360) 431-0763
Authorized Official
- Name
- AMBER DELAGRANGE, CP 60476132
- Title
- OWNER
- Phone
- (360) 431-0763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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