institution
Port Gamble S'klallam Chemical Dependency Program
Substance Use Disorder Rehabilitation Clinic/Center in Kingston, Washington
NPI 1578622973

Port Gamble S'klallam Chemical Dependency Program is a Substance Use Disorder Rehabilitation Clinic/Center based in Kingston, WA and is specialized in Rehabilitation, Substance Use Disorder. Port Gamble S'klallam Chemical Dependency Program practices in Kingston, WA. The NPI Number for Port Gamble S'klallam Chemical Dependency Program is 1578622973 and holds a License No. (Washington).

The current practice location address for Port Gamble S'klallam Chemical Dependency Program is 32014 Little Boston Rd Ne, Kingston, WA and can be reached out via phone at 360-297-9601 and via fax at 360-297-9614.

Location: 32014 Little Boston Rd Ne, Kingston, WA, 98346-9734
institution
Provider Profile Details
NPI Number
1578622973
Provider Name
Port Gamble S'klallam Chemical Dependency Program
Credential
Provider Entity Type
Organization
Address
32014 Little Boston Rd Ne, Kingston, WA, 98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992825 05 WA
institution
Provider Business Practice Location Address Details
Address
32014 Little Boston Rd Ne
City
State
Zip
98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
person
Provider Business Mailing Address Details
Address
32014 Little Boston Rd Ne
City
State
Zip
98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
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Definition
Definition to come...
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