Guardian Recovery Program Llc

NPI 1467612424 - Clinic/Center - 261QR0405X

NPI Details
NPI 1467612424
Enumeration Date 06/12/2008
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LYNDA J. LYNDA
Position EXECUTIVE DIRECTOR
Phone (206) 545-0597
Fax
Practice Location
4812 AURORA AVE N
SEATTLE WA, 98103-6518, US
Phone (206) 545-0597
Fax
Business Location
4812 AURORA AVE N
SEATTLE WA, 98103-6518, US
Phone (206) 545-0597
Fax
Toxanomy
Taxonomy Code 261QR0405X
License State Washington
License Number 17046100
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According to our database, Guardian Recovery Program Llc NPI is 1467612424, taxonomy code is 261QR0405X and license number is 17046100, license state is located at Washington. Guardian Recovery Program Llc physically located at 4812 Aurora Ave N, Seattle WA, 98103-6518. NPI Number 1033115704 has the healthcare provider type.

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1467612424 NPI number is provided on an as is basis without warranty of any kind. 1467612424 is maintained by the National Plan & Provider Enumeration System. The contents of Guardian Recovery Program Llc are for informational purposes only.