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Providence Health & Services - Washington
Substance Use Disorder Rehabilitation Hospital Unit in Lacey, Washington
NPI 1467462952

Providence Health & Services - Washington is a Substance Use Disorder Rehabilitation Hospital Unit based in Everett, WA. Providence Health & Services - Washington practices in Lacey, WA. The NPI Number for Providence Health & Services - Washington is 1467462952 and holds a License No. (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, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467462952
Provider Name
Providence Health & Services - Washington
Credential
Provider Entity Type
Organization
Address
4800 College St Se, Lacey, WA, 98201-1409
Phone Number
360-456-7575
Fax Number
360-493-5088
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3400017 05 WA
ST3729 01 WA REGENCE
HO60IP 05 AL
institution
Provider Business Practice Location Address Details
Address
4800 College St Se
City
Lacey
State
Washington
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
Lacey
State
Washington
Zip
98503-4389
Phone Number
360-456-7575
Fax Number
360-493-5088
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
276400000X
License No.
()
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
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