Organization Name: | A HEALTHY RISK, INC. |
NPI Number: | 1730222837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY GREEN (CO ADMINISTRATOR) |
Mailing Address: | 315 W Marcy Ave Montesano |
State: | WA US |
Postal Code: | 985633618 |
Phone Number: | 3602492297 |
Fax Number: | 3602492298 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 14 0737 00 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |