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GRAY WOLF RANCH
NPI 1649546714
Substance Abuse Rehabilitation Facility in Port Townsend, WA

Active since March 22, 2012
3804 HASTINGS AVE W, PORT TOWNSEND, WA 98368(360) 385-5505(360) 385-3605 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gray Wolf Ranch NPPES

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

GRAY WOLF RANCH (NPI 1649546714) is a healthcare organization registered as a substance abuse rehabilitation facility in Port Townsend, Washington and active in the NPI registry since March 2012. The organization lists Woody Bernas, Program Director, as its authorized official.

NPPES Registry Identity

NPI1649546714
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGRAY WOLF RANCH
Location Address3804 HASTINGS AVE WPort Townsend, WA 98368-9642
Mailing AddressPo Box 102Port Townsend, WA 98368-0102 · (360) 571-5505 · Fax (360) 385-3605
Phone(360) 385-5505
Fax(360) 385-3605
Organization SubpartNo
Authorized OfficialWoody BernasProgram Director · (360) 385-5505
Enumeration DateMarch 22, 2012
✔ NPI 1649546714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in WA · RTF.FS.00001020
Definition
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.
3804 HASTINGS AVE W, Port Townsend, WA 98368
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Other Providers at the Same Location NPPES 5

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

PETER PAUL LACK
Psychologist (Addiction (Substance Use Disorder))
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-5505
KRIS LEE KAMPF
Counselor (Addiction (Substance Use Disorder))
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-5505
PAIGE ELISE COFFING LSWAIC
Social Worker (Clinical)
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (844) 277-3533
WASHINGTON HEALTH OPERATIONS LLC
Psychiatric Residential Treatment Facility
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (844) 850-5854
JORDAN PATRICIA CARR LMHC-A
Counselor (Mental Health)
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368
Jefferson County (360) 710-7302

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 Gray Wolf Ranch's NPI number?

The NPI number for Gray Wolf Ranch is 1649546714. It was assigned to this organization in the NPPES registry on March 22, 2012.

Where is Gray Wolf Ranch located?

Gray Wolf Ranch is located at 3804 Hastings Ave W, Port Townsend, WA 98368. The listed phone number is (360) 385-5505.

What is Gray Wolf Ranch's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Gray Wolf Ranch was last updated on March 22, 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.