OrganizationActive
Integrity Support Services, LLC
NPI 1174812168 · Substance Use Disorder Rehabilitation Clinic/Center · Grandview, WA
Provider details
- NPI number
- 1174812168
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gerardo Castilleja, Administrator(509) 882-8012
- License
- 39 1532 00 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
303 Division St
Grandview, WA 98930-1358
Phone: (509) 882-8012
Fax: (509) 882-8802
Approximate (ZIP-level) locationGet directions
Mailing address
303 Division St
Grandview, WA 98930-1358
Registry dates
- Enumerated
- 2011-03-30
- Last updated
- 2011-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.