Healthcare Provider Details

I. General information

NPI: 1780771238
Provider Name (Legal Business Name): THE CENTER FOR ALCOHOL AND DRUG TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 10/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 OKANOGAN AVE
WENATCHEE WA
98801-2970
US

IV. Provider business mailing address

327 OKANOGAN AVE
WENATCHEE WA
98801-2970
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-9673
  • Fax: 509-662-9441
Mailing address:
  • Phone: 509-662-9673
  • Fax: 509-662-9441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberRTF1005
License Number StateWA

VIII. Authorized Official

Name: MS. JANICE K SANFORD
Title or Position: ACCOUNTS RECEIVABLE
Credential:
Phone: 509-662-9673