Organization Name: | SWINOMISH WELLNESS PROGRAM |
NPI Number: | 1710182787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN M. LEE (DIRECTOR) |
Mailing Address: | 17337 Reservation Rd La Conner |
State: | WA US |
Postal Code: | 982578802 |
Phone Number: | 3604661024 |
Fax Number: | 3604667364 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | CP00002083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |