Port Gamble S'Klallam Chemical Dependency Program in Kingston - Rehabilitation, Substance Use Disorder
Port Gamble S'Klallam Chemical Dependency Program - NPI 1578622973
Port Gamble S'Klallam Chemical Dependency Program is a Rehabilitation, Substance Use Disorder in Kingston, Washington. Port Gamble S'Klallam Chemical Dependency Program practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Port Gamble S'Klallam Chemical Dependency Program is 1578622973. The last update date is 2020-08-22.
Port Gamble S'Klallam Chemical Dependency Program's current location address is 32014 Little Boston Rd Ne, Kingston, Washington. You can contact this provider via phone number 3602979601 and fax number 3602979614. The mailing address for Port Gamble S'Klallam Chemical Dependency Program is 32014 Little Boston Rd Ne, Kingston, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Port Gamble S'Klallam Chemical Dependency Program |
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Address | 32014 Little Boston Rd Ne, Kingston, Washington |
Phone Number | 3602979601 |
Fax Number | 3602979614 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | HEALTH CEN |
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Authorized Official Name | Powell Margareta Kerstin |
Telephone Number | 3602979601 |
NPI Number Detail
NPI Number | 1578622973 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 32014 Little Boston Rd Ne |
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City | Kingston |
State | Washington (WA) |
Post Code | 983469734 |
Phone Number | 3602979601 |
Fax Number | 3602979614 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
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Taxonomy | 261Qr0405X |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1992825 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Port Gamble S'Klallam Chemical Dependency Program by the Centers for Medicare & Medicaid Services?
The Port Gamble S'Klallam Chemical Dependency Program has been issued the NPI (National Provider Identifier) 1578622973, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Port Gamble S'Klallam Chemical Dependency Program is physically located?
The Port Gamble S'Klallam Chemical Dependency Program is physically situated at the following address: 32014 Little Boston Rd Ne, Kingston, WA, 983469734.
What is the Port Gamble S'Klallam Chemical Dependency Program's area of specialization and corresponding taxonomy classification?
The Port Gamble S'Klallam Chemical Dependency Program's specialty field is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their specialties.
On what date did the Port Gamble S'Klallam Chemical Dependency Program receive its 1578622973 assignment from the Centers for Medicare & Medicaid Services?
The Port Gamble S'Klallam Chemical Dependency Program was assigned its 1578622973 by the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the information regarding Port Gamble S'Klallam Chemical Dependency Program most recently updated?
The details pertaining to the Port Gamble S'Klallam Chemical Dependency Program, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.