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CASCADIA ADDICTION TREATMENT SERVICES NPI 1932286101


NPI Information

NPI: 1932286101
Provider Name: CASCADIA ADDICTION TREATMENT SERVICES

Doing Business As: BOUNTIFUL LIFE ADDICTION TREATMENT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2817 WHEATON WAY STE 205
BREMERTON, WA
ZIP 98310
Phone: (360) 373-0155
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CASCADIA ADDICTION TREATMENT SERVICES is a rehabilitation and substance use disorder clinic center in Bremerton, WA. CASCADIA ADDICTION TREATMENT SERVICES NPI is 1932286101. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bountiful Life Addiction Treatment.

The provider's business location address is:

2817 WHEATON WAY STE 205
BREMERTON, WA
ZIP 98310-440
Phone: (360) 373-0155
Fax: (360) 373-0258

The provider's authorized official is Lindsy Jean Anderson .
The authorized official title is Owner/administrator and has the following contact phone number (360) 373-0155.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 6/18/2013.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)CP00002242WASHINGTONNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderCP00002242WASHINGTONYes

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
11995612MEDICAIDWASHINGTON

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

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