| Recovery Associates | |
|
6128 Capitol Blvd Se Tumwater WA 98501-5271 | |
| (360) 528-2289 | |
| Not Available |
| Full Name | Recovery Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6128 Capitol Blvd Se, Tumwater, Washington |
| Authorized Official Name and Position | Eric Jensen (CONTROLLER) |
| Authorized Official Contact | 3602367170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Associates 3857 Martin Way E Olympia WA 98506-5268 Ph: (360) 704-7170 | Recovery Associates 6128 Capitol Blvd Se Tumwater WA 98501-5271 Ph: (360) 528-2289 |
| NPI Number | 1396820106 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 12/27/2019 |
| Certification Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396820106 | NPI | - | NPPES |
| 1991603 | Medicaid | WA | |
| 1993088 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 600255953 (Washington) | Primary |
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