| NPI | 1174352975 |
|---|---|
| Doing Business As | MADRONA RECOVERY WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | MICAH BRADY BRAITHWAITE CFO/COO 503-749-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |