CLALLAM COUNTY JUVENILE AND FAMILY SERVICES NPI 1326139528

NPI Information

NPI: 1326139528
Provider Name: CLALLAM COUNTY JUVENILE AND FAMILY SERVICES

Other Name: TRUE STAR RECOVERY PROGRAM

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1912 W 18TH ST
PORT ANGELES, WA
ZIP 98363
Phone: (360) 565-2621
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CLALLAM COUNTY JUVENILE AND FAMILY SERVICES is a rehabilitation clinic center in Port Angeles, WA. CLALLAM COUNTY JUVENILE AND FAMILY SERVICES NPI is 1326139528. The provider is registered as an organization entity type.
The provider Other Name Is True Star Recovery Program.

The provider's business location address is:

1912 W 18TH ST
PORT ANGELES, WA
ZIP 98363-121
Phone: (360) 565-2621
Fax: (360) 457-4875

The provider's authorized official is Pete Peterson .
The authorized official title is Administrator and has the following contact phone number (360) 565-2628.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8022592	MEDICAID	WASHINGTON
2	91136	OTHER	WASHINGTON	PSE HEALTHTRUST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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