C & R EXECUTIVES, LLC

NPI # 

Practice Address:

309 Oak St

Kelso, WA, 98626-2340

Practice Phone:

360-577-7442

Practice Fax:

360-577-7904

License Number:

325/08 0535 00

License State:

WA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rehabilitation, Substance Use Disorder

Taxonomy Code:

261QR0405X