OrganizationActive
A New Spirit Recovery Program Inc
NPI 1497809958 · Substance Abuse Rehabilitation Facility · Edmonds, WA
Provider details
- NPI number
- 1497809958
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Donald Cox, President Clinical Director
- License
- 31011000 (WA)
Practice location
22617 76th Ave W
Suite 101
Edmonds, WA 98026
Phone: (425) 771-1194
Fax: (425) 771-4544
Mailing address
22617 76th Ave W
Edmonds, WA 98026
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.