The Juanita Center LLC
NPI #1467908855 in Mukilteo, Washington
Provider Information
- NPI Number
- 1467908855
- Entity Type
- Organization
- Organization Name
- The Juanita Center LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Aug 26, 2016
- Last Updated
- Aug 27, 2016
Practice Location
- Address
- 627 5TH ST
- Address 2
- SUITE 100A
- City
- Mukilteo
- State
- Washington
- ZIP Code
- 98275-1580
- Phone
- (425) 328-9528
Authorized Official
- Name
- MR. GARY R MCCULLOUGH, CDP, SAP, NCAC
- Title
- DIRECTOR
- Phone
- (425) 328-9528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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