Quinault Chemical Depedency
NPI #1518180744 in Taholah, Washington
Provider Information
- NPI Number
- 1518180744
- Entity Type
- Organization
- Organization Name
- Quinault Chemical Depedency
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 1505 KLA-OOK-WA DR
- City
- Taholah
- State
- Washington
- ZIP Code
- 98587-0219
- Phone
- (360) 276-4405
Authorized Official
- Name
- DAVID A HAGEN, CDP
- Title
- PROGRAM MANAGER
- Phone
- (360) 276-4405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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