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QUINAULT CHEMICAL DEPEDENCY
NPI 1518180744
Clinic/Center - Rehabilitation, Substance Use Disorder in Taholah, WA

Active since April 10, 2007
1505 KLA-OOK-WA DR, TAHOLAH, WA 98587(360) 276-4405(360) 276-9991 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Quinault Chemical Depedency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINAULT CHEMICAL DEPEDENCY (NPI 1518180744) is a healthcare organization registered as a rehabilitation, substance use disorder in Taholah, Washington and active in the NPI registry since April 2007. The organization lists David A Hagen, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1518180744
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameQUINAULT CHEMICAL DEPEDENCY
Location Address1505 KLA-OOK-WA DRTaholah, WA 98587-0219
Mailing AddressPo Box 219, 1505 Kla-ook-wa DrTaholah, WA 98587 · (360) 276-4405 · Fax (360) 276-9991
Phone(360) 276-4405
Fax(360) 276-9991
Organization SubpartNo
Authorized OfficialDavid A HagenProgram Manager · (360) 276-4405
Enumeration DateApril 10, 2007
Last NPPES UpdateMarch 1, 2012
✔ NPI 1518180744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1505 KLA-OOK-WA DR, Taholah, WA 98587
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Other Identifiers 1

Medicaid1992817WA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISHELLE JACKSON SUDPT
Counselor (Addiction (Substance Use Disorder))
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-8215
PAVEL MITIN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
GREGORY G KOZLOWSKI DDS
Dentist (General Practice)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
QUINAULT INDIAN NATION
Clinic/Center (Dental)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
HOLLY ANNE MULLINS MASSAGE PRACTITIONER
Massage Therapist
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
QUINAULT INDIAN NATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
MARY LOUISE HART ARNP
Nurse Practitioner (Family)
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405
TRICIA DEE BUMGARNER MA
Massage Therapist
1505 KLA-OOK-WA DR
TAHOLAH, WA 98587
Grays Harbor County (360) 276-4405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quinault Chemical Depedency's NPI number?

The NPI number for Quinault Chemical Depedency is 1518180744. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Quinault Chemical Depedency located?

Quinault Chemical Depedency is located at 1505 Kla-Ook-Wa Dr, Taholah, WA 98587. The listed phone number is (360) 276-4405.

What is Quinault Chemical Depedency's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Quinault Chemical Depedency was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.