| NPI | 1407945389 |
|---|---|
| Doing Business As | PROVIDENCE CRISIS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD ANDERSON Assistant Secretary Of Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AK NOT NUMBERED) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 251S00000X | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AK 512146) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-09-25 |