| NPI | 1164162681 |
|---|---|
| Doing Business As | DESTINATION HOPE AND RECOVERY LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BANNISH Supervisor 360-310-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |