| Cascade Recovery Resource Center, Llc | |
|
707 N Pearl St Suite D Ellensburg WA 98926-2938 | |
| (509) 933-3838 | |
| (509) 933-4044 |
| Full Name | Cascade Recovery Resource Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 707 N Pearl St, Ellensburg, Washington |
| Authorized Official Name and Position | Pam Stoneburg (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 5099333838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Recovery Resource Center, Llc 707 N Pearl St Suite D Ellensburg WA 98926-2938 Ph: (509) 933-3838 | Cascade Recovery Resource Center, Llc 707 N Pearl St Suite D Ellensburg WA 98926-2938 Ph: (509) 933-3838 |
| NPI Number | 1720127095 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720127095 | NPI | - | NPPES |
| 1995299 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 602292 (Washington) | Primary |
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