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Educational Service District 112
Substance Use Disorder Rehabilitation Clinic/Center in Vancouver, Washington
NPI 1790008928

Educational Service District 112 is a Substance Use Disorder Rehabilitation Clinic/Center based in Vancouver, WA and is specialized in Rehabilitation, Substance Use Disorder. Educational Service District 112 practices in Vancouver, WA. The NPI Number for Educational Service District 112 is 1790008928 and holds a License No. (Washington).

The current practice location address for Educational Service District 112 is 2500 Ne 65 Avenue, Vancouver, WA and can be reached out via phone at 360-750-7500 and via fax at 360-906-1010.

Location: 2500 Ne 65 Avenue, Vancouver, WA, 98661-6812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790008928
Provider Name
Educational Service District 112
Credential
Provider Entity Type
Organization
Address
2500 Ne 65 Avenue, Vancouver, WA, 98661-6812
Phone Number
360-750-7500
Fax Number
360-906-1010
Provider Enumeration Date
03/02/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1996008 01 WA CURRENT PROVIDER NUMBER TO BE USED WITH NPI
institution
Provider Business Practice Location Address Details
Address
2500 Ne 65 Avenue
City
Vancouver
State
Washington
Zip
98661-6812
Phone Number
360-750-7500
Fax Number
360-906-1010
person
Provider Business Mailing Address Details
Address
2500 Ne 65 Avenue
City
Vancouver
State
Washington
Zip
98661-6812
Phone Number
360-750-7500
Fax Number
360-906-1010
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Local Education Agency (LEA)
Speciality
-
Taxonomy
251300000X
License No.
(Washington)
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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