NPI 1689892473

Lifeline Connections

Organisation Substance Abuse Rehabilitation Facility Vancouver, WA

Practice location

Address: 1601 E Fourth Plain Blvd Building 17, Vancouver, WA 98661-3753
Phone: (360) 397-8246
Mailing address: PO Box 1678, Vancouver, WA 98668-1678

Authorised official

Name: Kinh Reynolds
Title: Cfo
Phone: (360) 397-8246

Registered specialties (6)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence RTF - 1075 (WA)

Other Substance Abuse Rehabilitation Facility providers in Washington →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Washington →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI: 1689892473
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 1 Mar 2023

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.