Provider Demographics
NPI:1033842323
Name:CPF ALPINE RECOVERY, LLC
Entity Type:Organization
Organization Name:CPF ALPINE RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN DEE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:BA, SUDP, NCAC I
Authorized Official - Phone:360-658-1388
Mailing Address - Street 1:16404 SMOKEY POINT BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-8417
Mailing Address - Country:US
Mailing Address - Phone:360-658-1388
Mailing Address - Fax:360-658-9842
Practice Address - Street 1:16404 SMOKEY POINT BLVD STE 109
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8417
Practice Address - Country:US
Practice Address - Phone:360-658-1388
Practice Address - Fax:360-658-9842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)