| Vita Wellness & Recovery | |
|
451 Sw 10th Street Suite 100 Renton WA 98057 | |
| (425) 336-4708 | |
| (425) 336-2808 |
| Full Name | Vita Wellness & Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 451 Sw 10th Street, Renton, Washington |
| Authorized Official Name and Position | Terry G Woodland (PRESIDENT) |
| Authorized Official Contact | 4253364708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Wellness & Recovery 451 Sw 10th Street Suite 100 Renton WA 98057 Ph: (425) 336-4708 | Vita Wellness & Recovery 451 Sw 10th Street Suite 100 Renton WA 98057 Ph: (425) 336-4708 |
| NPI Number | 1871756494 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871756494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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