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Providence Health System Of Washington
Substance Abuse Rehabilitation Facility in Chehalis, Washington
NPI 1750434098

Providence Health System Of Washington is a Substance Abuse Rehabilitation Facility based in Centralia, WA. Providence Health System Of Washington practices in Chehalis, WA. The NPI Number for Providence Health System Of Washington is 1750434098 and holds a License No. (Washington).

The current practice location address for Providence Health System Of Washington is 500 Se Washington Ave, Chehalis, WA and can be reached out via phone at 360-740-6542 and via fax at 360-740-8367.

Location: 500 Se Washington Ave, Chehalis, WA, 98531-9027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750434098
Provider Name
Providence Health System Of Washington
Credential
Provider Entity Type
Organization
Address
500 Se Washington Ave, Chehalis, WA, 98531-9027
Phone Number
360-740-6542
Fax Number
360-740-8367
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-740-6542
Fax Number
360-740-8367
person
Provider Business Mailing Address Details
Address
500 Se Washington Ave
City
Chehalis
State
Washington
Zip
98532-3058
Phone Number
360-740-6542
Fax Number
360-740-8367
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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