Organization Name: | VALLEY ALCOHOL COUNSEL |
NPI Number: | 1811033582 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID L WILSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 312 W 2nd St Wapato |
State: | WA US |
Postal Code: | 989511110 |
Phone Number: | 5098777271 |
Fax Number: | 5098773532 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 02/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |