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NPI Code Detail

MEDICARE: MERIT RESOURCE SERVICES

MEDICARE: MERIT RESOURCE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor60081458WA

General Provider Information

NPI Number : 1275083966
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIT RESOURCE SERVICES
Provider Business Mailing Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number :
Provider Business Practice Location Address
First Line : 315 N 2ND ST
Second Line :
City : YAKIMA
State : WA
Zip : 98901-2334
Country : US
Telephone Number : 509-469-9366
Fax Number :
Authorized Official
Title or Position : EXCUTIVE DIRECTOR
Name : DAVE WILSON
Credential :
Telephone Number : 509-469-9366
Provider Enumeration Date : 10/06/2016
Last Update Date : 10/06/2016

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Directions to “MERIT RESOURCE SERVICES ” Practice Location

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