Organization · Type 2 NPI

Providence Health & Services Washington

Substance Use Disorder Rehabilitation Clinic/Center · Lacey, WA

NPI number 1689805509 Active

Practice location

4800 College St SE
Lacey, WA 98503-4389

Call (360) 456-7575 Map

Fax (360) 493-5088

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Substance Use Disorder Rehabilitation Hospital Unit 276400000XNone listed

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About NPI 1689805509

Providence Health & Services Washington's National Provider Identifier is 1689805509, issued on Jul 28, 2009. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Lacey, WA. The record was last updated on May 15, 2025.