institution
Providence Health & Services Washington
Substance Use Disorder Rehabilitation Clinic/Center in Lacey, Washington
NPI 1366641755

Providence Health & Services Washington is a Substance Use Disorder Rehabilitation Clinic/Center based in Seattle, WA and is specialized in Rehabilitation, Substance Use Disorder. Providence Health & Services Washington practices in Lacey, WA. The NPI Number for Providence Health & Services Washington is 1366641755 and holds a License No. 34 0153 00 (Washington).

The current practice location address for Providence Health & Services Washington is 4800 College St Se, Lacey, WA and can be reached out via phone at 360-456-7575 and via fax at 360-493-5088.

Location: 4800 College St Se, Lacey, WA, 98124-1439
institution
Provider Profile Details
NPI Number
1366641755
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
4800 College St Se, Lacey, WA, 98124-1439
Phone Number
360-456-7575
Fax Number
360-493-5088
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AH-006 01 WA DEPARTMENT OF HEALTH - AL
342 006 812 01 WA UNIFIED BUSINESS ID
institution
Provider Business Practice Location Address Details
Address
4800 College St Se
City
State
Zip
98503-4389
Phone Number
360-456-7575
Fax Number
360-493-5088
person
Provider Business Mailing Address Details
Address
4800 College St Se
City
State
Zip
98503-4389
Phone Number
360-456-7575
Fax Number
360-493-5088
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
34 0153 00 (Washington)
Definition
Definition to come...
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