Healthcare Provider Details

I. General information

NPI: 1932252624
Provider Name (Legal Business Name): RECOVERY CENTERS OF KING COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 10/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 18TH AVE S
SEATTLE WA
98144-4317
US

IV. Provider business mailing address

464 12TH AVE SUITE 300
SEATTLE WA
98122-5567
US

V. Phone/Fax

Practice location:
  • Phone: 206-325-5000
  • Fax: 206-325-3377
Mailing address:
  • Phone: 206-322-2970
  • Fax: 206-568-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MARILYN RUSNESS
Title or Position: A/P-BILLING SPECIALIST
Credential:
Phone: 206-568-8226