NPI 1508357146

Redwood Recovery Center

Organisation Substance Abuse Rehabilitation Facility Vancouver, WA

Practice location

Address: 717 NE 61st St STE 102, Vancouver, WA 98665-8755
Phone: (360) 523-2997

Authorised official

Name: Crystal Kostrivas
Title: Owner
Phone: (262) 565-8938

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 200568 (WA)

Other Substance Abuse Rehabilitation Facility providers in Washington →

Registry record

NPI: 1508357146
Entity type: Organization
NPI issued: 18 May 2018
Record last updated: 18 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.