Organization · Type 2 NPI
Kllallam Couseling Services
Substance Use Disorder Rehabilitation Clinic/Center · Port Angeles, WA
NPI number
1396012530
Active
Practice location
1026 East Front St., #2
Port Angeles, WA 98362
Fax (360) 452-4599
Mailing address
73 Nisbet Rd, Sequ
Sequim, WA 98382-7314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | CP00004528 (WA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1396012530
Kllallam Couseling Services's National Provider Identifier is 1396012530, issued on Nov 16, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Port Angeles, WA. The record was last updated on Nov 16, 2011.