LINCOLN COUNTY ALCOHOL DRUG CENTER
NPI 1831381342
Counselor - Addiction (Substance Use Disorder) in Davenport, WA

Active since August 17, 2007
505 FIRST ST, DAVENPORT, WA 99122(509) 725-2111(509) 725-2141 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lincoln County Alcohol Drug Center NPPES

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

LINCOLN COUNTY ALCOHOL DRUG CENTER (NPI 1831381342) is a healthcare organization registered as an addiction (substance use disorder) in Davenport, Washington and active in the NPI registry since August 2007. The organization lists Darren Mattozzi, Director, as its authorized official.

NPPES Registry Identity

NPI1831381342
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameLINCOLN COUNTY ALCOHOL DRUG CENTER
Location Address505 FIRST STDavenport, WA 99122-0152
Mailing AddressPo Box 152Davenport, WA 99122-0152 · (509) 725-2111 · Fax (509) 725-2141
Fax(509) 725-2141
Organization SubpartNo
Authorized OfficialDarren MattozziDirector · (509) 725-2111
Enumeration DateAugust 17, 2007
Last NPPES UpdateDecember 8, 2017
NPI 1831381342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP00003123
505 FIRST ST, Davenport, WA 99122

Other Identifiers 1

Medicaid1990340WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831381342, enumerated as an "organization" on August 17, 2007.

The provider is located at 505 FIRST ST DAVENPORT, WA 99122 and the phone number is (509) 725-2111.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.