Organization · Type 2 NPI

Puyallup Tribal Health Authority

Substance Use Disorder Rehabilitation Clinic/Center · Tacoma, WA

NPI number 1689709172 Active

Practice location

2209 E 32nd St
Tacoma, WA 98404

Fax (253) 382-2091

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

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About NPI 1689709172

Puyallup Tribal Health Authority's National Provider Identifier is 1689709172, issued on Feb 23, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Tacoma, WA. The record was last updated on Jul 13, 2018.