| NPI | 1255571063 |
|---|---|
| Other Name | CAPITAL RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | KATRINA RACHELE MCCOY Operations Manager 360-357-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 601-217-168) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2021-06-03 |