| NPI | 1669411377 |
|---|---|
| Doing Business As | COLUMBIA RIVER ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | VICTOR JACKSON Chief Executive Officer 360-993-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 067) |
| Additional Taxonomies | 251S00000X (Licence: WA 138) |
| 261QM2800X Clinic/Center, Methadone Clinic (Licence: WA 06 0894 00) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 06 0894 00) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-11-29 |