NISQUALLY GENERATIONS HEALING CENTER NPI 1427935832

NPI Information

  • NPI: 1427935832
  • Provider Name: NISQUALLY GENERATIONS HEALING CENTER
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 3661 PACIFIC AVE SE
    OLYMPIA, WA
    ZIP 98501
  • Phone: (360) 349-3723

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NPI Details

NISQUALLY GENERATIONS HEALING CENTER is a rehabilitation and substance use disorder clinic center in Olympia, WA. NISQUALLY GENERATIONS HEALING CENTER NPI is 1427935832. The provider is registered as an organization entity type.

The provider's business location address is:

3661 PACIFIC AVE SE
OLYMPIA, WA
ZIP 98501-122
Phone: (360) 349-3723

The provider's authorized official is Christopher Petrozzi .
The authorized official title is Administrator and has the following contact phone number (360) 218-7970.

The enumeration date for this NPI number is 8/18/2025 and was last updated on 8/18/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNo
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: 11/21/2025

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