Madrona Recovery Washington LLC
NPI #1174352975 in Brush Prairie, Washington
Provider Information
- NPI Number
- 1174352975
- Entity Type
- Organization
- Organization Name
- Madrona Recovery Washington LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jul 30, 2024
- Last Updated
- Jul 30, 2024
Practice Location
- Address
- 11910 NE 154TH ST
- City
- Brush Prairie
- State
- Washington
- ZIP Code
- 98606-9571
- Phone
- (503) 749-2000
Authorized Official
- Name
- MICAH BRADY BRAITHWAITE
- Title
- CFO/COO
- Phone
- (503) 749-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Psychiatric Residential Treatment Facility |
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