| NPI | 1659181790 |
|---|---|
| Doing Business As | NW REENTRY |
| Doing Business As | NW RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALEXA BALDERSTON Owner 532-718-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-02-18 |