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BHARDRA RECOVERY NPI 1487029708


NPI Information

NPI: 1487029708
Provider Name: BHARDRA RECOVERY

Former Legal Business Name: CTC COUNSELING SERVICES LLC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
18500 156TH AVE NE
#300
WOODINVILLE, WA
ZIP 98072
Phone: (206) 957-0721
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BHARDRA RECOVERY is a rehabilitation and substance use disorder clinic center in Woodinville, WA. BHARDRA RECOVERY NPI is 1487029708. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ctc Counseling Services Llc.

The provider's business location address is:

18500 156TH AVE NE
#300
WOODINVILLE, WA
ZIP 98072
Phone: (206) 957-0721
Fax: (206) 957-0723

The provider's authorized official is Jessica Carol Dark .
The authorized official title is Director, Owner and has the following contact phone number (206) 957-0721.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 8/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder17 113800WASHINGTONNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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