NPIMap

Organization Active NPI

Abhs Port Angeles Outpatient Program

  • Substance Abuse Rehabilitation Facility
  • Port Angeles, WA
National Provider Identifier
1477419869
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ABHS PORT ANGELES OUTPATIENT PROGRAM
Practice address
1108 E 1St St
Port Angeles, WA 98362-4317
Phone
(509) 232-5766
NPI assigned
Dec 29, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN BEHAVIORAL HEALT SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Arthure Prentice
Title
Ceo
Phone
(360) 507-8028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1108 E 1St St
Port Angeles, WA 98362-4317

Mailing address

15404 E Springfield Ave
Spokane Valley, WA 99037-8569
Phone (253) 227-3802

National Provider Directory

National Provider Directory
Tax ID family
American Behavioral Healt Systems Inc15 organizations share this tax ID, including this one
Part of
American Behavioral Healt Systems Inc

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1108 E 1st St
Port Angeles, WA 98362
Phone (360) 452-6216

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1477419869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15404 E SPRINGFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378569",
            "telephone_number": "253-227-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624317",
            "telephone_number": "509-232-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABHS PORT ANGELES OUTPATIENT PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN BEHAVIORAL HEALT SYSTEMS, INC.",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ARTHURE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-507-8028"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.