KLEAN LONG BEACH WA LLC NPI 1912245259

NPI Information

NPI: 1912245259
Provider Name: KLEAN LONG BEACH, WA, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
211 PIONEER RD W
LONG BEACH, WA
ZIP 98631
Phone: (360) 642-3105
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KLEAN LONG BEACH, WA, LLC is a substance abuse rehabilitation facility in Long Beach, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. KLEAN LONG BEACH, WA, LLC NPI is 1912245259. The provider is registered as an organization entity type.

The provider's business location address is:

211 PIONEER RD W
LONG BEACH, WA
ZIP 98631-654
Phone: (360) 642-3105
Fax: (360) 642-2766

The provider's authorized official is Andrew Spanswick .
The authorized official title is Ceo and has the following contact phone number (310) 435-8096.

The enumeration date for this NPI number is 1/22/2013 and was last updated on 5/12/2014.

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	324500000X	Substance Abuse Rehabilitation Facility				Yes

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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