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Northwest Indian Treatment Center
Substance Abuse Rehabilitation Facility in Elma, Washington
NPI 1588747059

Northwest Indian Treatment Center is a Substance Abuse Rehabilitation Facility based in Elma, WA. Northwest Indian Treatment Center practices in Elma, WA. The NPI Number for Northwest Indian Treatment Center is 1588747059 and holds a License No. RTF1034 (Washington).

The current practice location address for Northwest Indian Treatment Center is 308 E. Young Street, Elma, WA and can be reached out via phone at 360-482-2674.

Location: 308 E. Young Street, Elma, WA, 98541-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588747059
Provider Name
Northwest Indian Treatment Center
Credential
Provider Entity Type
Organization
Address
308 E. Young Street, Elma, WA, 98541-0000
Phone Number
360-482-2674
Fax Number
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1990696 05 WA
1981026 05 WA
institution
Provider Business Practice Location Address Details
Address
308 E. Young Street
City
Elma
State
Washington
Zip
98541
Phone Number
360-482-2674
Fax Number
person
Provider Business Mailing Address Details
Address
308 E. Young Street
City
Elma
State
Washington
Zip
98541
Phone Number
360-482-2674
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
RTF1034 (Washington)
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.
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