Resurgence Northwest LLC
NPI #1225869969 in Milton, Washington
Provider Information
- NPI Number
- 1225869969
- Entity Type
- Organization
- Organization Name
- Resurgence Northwest LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 13, 2024
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 1703 DOUGLAS CT
- City
- Milton
- State
- Washington
- ZIP Code
- 98354-9727
- Phone
- (360) 888-7087
Authorized Official
- Name
- KEVIN RICHARD BERGERON, SUDPT, AAC, CPC
- Title
- OWNER, CEO
- Phone
- (360) 888-7087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Community/Behavioral Health |
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