Provider Demographics
NPI:1659132215
Name:KITSAP COUNTY DRUG COURT ALUMNI ASSOCIATION
Entity Type:Organization
Organization Name:KITSAP COUNTY DRUG COURT ALUMNI ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-912-2508
Mailing Address - Street 1:PO BOX 2981
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-0382
Mailing Address - Country:US
Mailing Address - Phone:360-912-2508
Mailing Address - Fax:
Practice Address - Street 1:5691 KITSAP WAY
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-2222
Practice Address - Country:US
Practice Address - Phone:360-616-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health