REDWOOD RECOVERY CENTER NPI 1508357146

NPI Information

  • NPI: 1508357146
  • Provider Name: REDWOOD RECOVERY CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 717 NE 61ST ST STE 102
    VANCOUVER, WA
    ZIP 98665
  • Phone: (360) 523-2997

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NPI Details

REDWOOD RECOVERY CENTER is a substance abuse rehabilitation facility in Vancouver, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. REDWOOD RECOVERY CENTER NPI is 1508357146. The provider is registered as an organization entity type.

The provider's business location address is:

717 NE 61ST ST STE 102
VANCOUVER, WA
ZIP 98665-755
Phone: (360) 523-2997

The provider's authorized official is Crystal Kostrivas .
The authorized official title is Owner and has the following contact phone number (262) 565-8938.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 5/18/2018.

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
1324500000XSubstance Abuse Rehabilitation Facility200568WASHINGTONYes

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: 3/30/2025

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