| Delozier Recovery Services Llc | |
|
3907 Creekside Loop Suite 110 Yakima WA 98902-4879 | |
| (509) 469-5515 | |
| (509) 469-5517 |
| Full Name | Delozier Recovery Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3907 Creekside Loop, Yakima, Washington |
| Authorized Official Name and Position | Lisa M Delozier (OWNER) |
| Authorized Official Contact | 5094695515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delozier Recovery Services Llc 3907 Creekside Loop Suite 110 Yakima WA 98902-4879 Ph: (509) 469-5515 | Delozier Recovery Services Llc 3907 Creekside Loop Suite 110 Yakima WA 98902-4879 Ph: (509) 469-5515 |
| NPI Number | 1205017316 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205017316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39-1197-00 (Washington) | Primary |
| 251B00000X | Case Management | 39-1197-00 (Washington) | Secondary |
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