Drug Abuse Prevention Center

NPI 1104243534 - Clinic/Center - 261QR0405X

NPI Details
NPI 1104243534
Enumeration Date 03/24/2014
Last Updated 02/08/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name FLOYD FLOYD
Position EXECUTIVE DIRECTOR
Phone (360) 425-9210
Fax (360) 501-6131
Practice Location
621 GRADE ST
KELSO WA, 98626-2606, US
Phone (360) 425-9210
Fax (360) 501-6131
Business Location
PO BOX 890
KELSO WA, 98626-0081, US
Phone (360) 425-9210
Fax (360) 501-6131
Toxanomy
Taxonomy Code 261QR0405X
License State Washington
License Number 261953
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According to our database, Drug Abuse Prevention Center NPI is 1104243534, taxonomy code is 261QR0405X and license number is 261953, license state is located at Washington. Drug Abuse Prevention Center physically located at 621 Grade St, Kelso WA, 98626-2606. NPI Number 1033115704 has the healthcare provider type.

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1104243534 NPI number is provided on an as is basis without warranty of any kind. 1104243534 is maintained by the National Plan & Provider Enumeration System. The contents of Drug Abuse Prevention Center are for informational purposes only.