Organization Active NPI

Abracadabra Recovery Inc

  • Community/Behavioral Health Agency
  • Spanaway, WA
National Provider Identifier
1982929469
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
27148500 Issued in WA
Legal business name
ABRACADABRA RECOVERY INC
Practice address
18407 Pacific Avenue South
Spanaway, WA 98387
Phone
(253) 273-7781
Fax
(253) 375-6547
NPI assigned
Mar 29, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Andrew L Farmer
Title
Owner
Phone
(253) 273-7781

National Provider Directory

National Provider Directory

Locations

18407 Pacific Ave S
Spanaway, WA 98387
Phone (253) 273-7781

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 27148500 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

18407 Pacific Avenue South
Spanaway, WA 98387

Mailing address

18407 Pacific Avenue South
Spanaway, WA 98387
Phone (253) 273-7781

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2010.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1982929469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18407 PACIFIC AVENUE SOUTH",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "98387",
            "telephone_number": "253-273-7781",
            "fax_number": "253-375-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18407 PACIFIC AVENUE SOUTH",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "98387",
            "telephone_number": "253-273-7781",
            "fax_number": "253-375-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRACADABRA RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-273-7781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "27148500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.