Provider Demographics
NPI:1083215438
Name:ARMSTRONG ALCOHOL AND DRUG RECOVERY, LLC
Entity Type:Organization
Organization Name:ARMSTRONG ALCOHOL AND DRUG RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:AL
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:CDP, BS, NCACII, SAP
Authorized Official - Phone:206-575-1958
Mailing Address - Street 1:625 STRANDER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2900
Mailing Address - Country:US
Mailing Address - Phone:206-575-1958
Mailing Address - Fax:206-575-1959
Practice Address - Street 1:625 STRANDER BLVD STE C
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2900
Practice Address - Country:US
Practice Address - Phone:206-575-1958
Practice Address - Fax:206-575-1959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty