Organization · Type 2 NPI

Port Gamble S'klallam Chemical Dependency Program

Substance Use Disorder Rehabilitation Clinic/Center · Kingston, WA

NPI number 1578622973 Active

Practice location

32014 Little Boston Rd NE
Kingston, WA 98346-9734

Fax (360) 297-9614

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1578622973

Port Gamble S'klallam Chemical Dependency Program's National Provider Identifier is 1578622973, issued on Dec 8, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kingston, WA. The record was last updated on Aug 22, 2020.