Gray Wolf Ranch
NPI #1649546714 in Port Townsend, Washington
Provider Information
- NPI Number
- 1649546714
- Entity Type
- Organization
- Organization Name
- Gray Wolf Ranch
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 22, 2012
- Last Updated
- Mar 22, 2012
Practice Location
- Address
- 3804 HASTINGS AVE W
- City
- Port Townsend
- State
- Washington
- ZIP Code
- 98368-9642
- Phone
- (360) 385-5505
Authorized Official
- Name
- MR. WOODY BERNAS
- Title
- PROGRAM DIRECTOR
- Phone
- (360) 385-5505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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