Organization · Type 2 NPI
Educational Service District 113
Substance Use Disorder Rehabilitation Clinic/Center · Raymond, WA
NPI number
1285886655
Active
Practice location
22 Viking Way
Raymond, WA 98577-9308
Mailing address
601 Mcphee Rd SW
Olympia, WA 98502-5080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 25143100 (WA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1285886655
Educational Service District 113's National Provider Identifier is 1285886655, issued on Oct 16, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Raymond, WA. The record was last updated on Sep 24, 2009.