Provider Demographics
NPI:1831213404
Name:CASCADE BOOKS & CASCADE RECOVERY CENTER
Entity type:Organization
Organization Name:CASCADE BOOKS & CASCADE RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:BIALOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CDP
Authorized Official - Phone:360-698-7267
Mailing Address - Street 1:PO BOX 3452
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3452
Mailing Address - Country:US
Mailing Address - Phone:360-698-7267
Mailing Address - Fax:360-698-5967
Practice Address - Street 1:9095 MCCONNELL AVE NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8392
Practice Address - Country:US
Practice Address - Phone:360-698-7267
Practice Address - Fax:360-698-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA18047501251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA182212001OtherGROUP HEALTH (HMO)
WA1991124Medicaid