| NPI | 1790826600 |
|---|---|
| Doing Business As | ISLAND CROSSING COUNSELING SERVICES |
| Doing Business As | ICCS |
| Entity Type | Organization |
| Authorized Contact | KRISTA YANDLE Billing Supervisor 360-652-9640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-05-08 |