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1861950859 NPI number — QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER

NPI Number: 1861950859
Health Care Provider/Practitioner: QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER

Information about “1861950859” NPI (QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER) exists in 1861950859 in HTML format HTML  |  1861950859 in plain Text format TXT  |  1861950859 in PDF (Portable Document Format) PDF  |  1861950859 in an XML format XML  formats.

NPI Number : 1861950859 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861950859",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "QUILEUTE TRIBAL COUNCIL",
    "ParentOrgTIN": null,
    "OrgName": "QUILEUTE COUNSELING AND RECOVERY SUBSTANCE USE DISORDER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 189",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA PUSH",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98350-0189",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-374-3358",
    "MailingAddressFaxNumber": "360-374-2644",
    "FirstLinePracticeLocationAddress": "560 QUILEUTE HEIGHTS LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA PUSH",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98350",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-374-3358",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/08/2019",
    "LastUpdateDate": "03/08/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOODWIN",
    "AuthorizedOfficialFirstName": "GARY",
    "AuthorizedOfficialMiddleName": "BRYAN",
    "AuthorizedOfficialTitle": "BILLING AGENCY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "360-867-0709",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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