Provider Demographics
NPI:1538760111
Name:NW FAMILY RECOVERY SOLUTIONS
Entity type:Organization
Organization Name:NW FAMILY RECOVERY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBBELAERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-701-1080
Mailing Address - Street 1:PO BOX 3789
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3789
Mailing Address - Country:US
Mailing Address - Phone:844-701-9974
Mailing Address - Fax:844-774-7621
Practice Address - Street 1:710 BAY ST
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-5310
Practice Address - Country:US
Practice Address - Phone:844-701-9974
Practice Address - Fax:844-774-7621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health