institution
Educational Service District 113
Substance Use Disorder Rehabilitation Clinic/Center in Raymond, Washington
NPI 1285886655

Educational Service District 113 is a Substance Use Disorder Rehabilitation Clinic/Center based in Olympia, WA and is specialized in Rehabilitation, Substance Use Disorder. Educational Service District 113 practices in Raymond, WA. The NPI Number for Educational Service District 113 is 1285886655 and holds a License No. 25143100 (Washington).

The current practice location address for Educational Service District 113 is 22 Viking Way, Raymond, WA and can be reached out via phone at 360-942-2006.

Location: 22 Viking Way, Raymond, WA, 98502-5080
institution
Provider Profile Details
NPI Number
1285886655
Provider Name
Educational Service District 113
Credential
Provider Entity Type
Organization
Address
22 Viking Way, Raymond, WA, 98502-5080
Phone Number
360-942-2006
Fax Number
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1995885 05 WA
institution
Provider Business Practice Location Address Details
Address
22 Viking Way
City
State
Zip
98577-9308
Phone Number
360-942-2006
Fax Number
person
Provider Business Mailing Address Details
Address
22 Viking Way
City
State
Zip
98577-9308
Phone Number
360-942-2006
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
25143100 (Washington)
Definition
Definition to come...
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