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CAPITAL CLUBHOUSE NPI 1255571063


NPI Information

NPI: 1255571063
Provider Name: CAPITAL CLUBHOUSE

Other Name: CAPITAL RECOVERY CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1000 CHERRY ST SE
OLYMPIA, WA
ZIP 98501
Phone: (360) 357-2582
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CAPITAL CLUBHOUSE is a community behavioral health in Olympia, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CAPITAL CLUBHOUSE NPI is 1255571063. The provider is registered as an organization entity type.
The provider Other Name Is Capital Recovery Center.

The provider's business location address is:

1000 CHERRY ST SE
OLYMPIA, WA
ZIP 98501-433
Phone: (360) 357-2582
Fax: (360) 357-2821

The provider's authorized official is Katrina Rachele Mccoy .
The authorized official title is Operations Manager and has the following contact phone number (360) 357-2582.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 6/3/2021.


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
1251S00000XCommunity/Behavioral Health601-217-168WASHINGTONYes
2261QP2300XClinic/CenterPrimary CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12002974MEDICAIDWASHINGTON

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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