OrganizationActive
Gray Wolf Ranch
NPI 1649546714 · Substance Abuse Rehabilitation Facility · Port Townsend, WA
Provider details
- NPI number
- 1649546714
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Woody Bernas, Program Director(360) 385-5505
- License
- RTF.FS.00001020 (WA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3804 Hastings Ave W
Port Townsend, WA 98368-9642
Phone: (360) 385-5505
Fax: (360) 385-3605
Street-level locationGet directions
Mailing address
Po Box 102
Port Townsend, WA 98368-0102
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2012-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.