A New Spirit Recovery Program Inc in Edmonds - Substance Abuse Rehabilitation Facility
A New Spirit Recovery Program Inc - NPI 1497809958
A New Spirit Recovery Program Inc is a Substance Abuse Rehabilitation Facility in Edmonds, Washington. A New Spirit Recovery Program Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for A New Spirit Recovery Program Inc is 1497809958. The last update date is 2020-08-22.
A New Spirit Recovery Program Inc's current location address is 22617 76th Ave W, Edmonds, Washington. You can contact this provider via phone number 4257711194 and fax number 4257714544. The mailing address for A New Spirit Recovery Program Inc is 22617 76th Ave W, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | A New Spirit Recovery Program Inc |
|---|---|
| Address | 22617 76th Ave W, Edmonds, Washington |
| Phone Number | 4257711194 |
| Fax Number | 4257714544 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cox D Donald |
| Credentials | NCACII CC |
| Telephone Number | 4257711194 |
NPI Number Detail
| NPI Number | 1497809958 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22617 76th Ave W |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 98026 |
| Phone Number | 4257711194 |
| Fax Number | 4257714544 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 31011000 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 477000 | WA | PREMERA BLUE CROSS | |
| 321001 | VALUEOPTIONS | ||
| NO-0620 | WA | REGENCE BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to A New Spirit Recovery Program Inc?
The A New Spirit Recovery Program Inc has been issued the NPI (National Provider Identifier) 1497809958 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where A New Spirit Recovery Program Inc is physically located?
The A New Spirit Recovery Program Inc is situated at the following address: 22617 76Th Ave W, Edmonds, WA 98026.
What is A New Spirit Recovery Program Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for A New Spirit Recovery Program Inc is Substance Abuse Rehabilitation Facility, and the taxonomy classification code that categorizes this area of expertise is 324500000X.
On what date did the A New Spirit Recovery Program Inc receive its 1497809958 assignment from the Centers for Medicare & Medicaid Services?
The A New Spirit Recovery Program Inc was assigned its 1497809958 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information related to A New Spirit Recovery Program Inc most recently updated or refreshed?
The details pertaining to the A New Spirit Recovery Program Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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