Educational Service District 113 in Olympia - Rehabilitation, Substance Use Disorder
Educational Service District 113 - NPI 1952437824
Educational Service District 113 is a Rehabilitation, Substance Use Disorder in Olympia, Washington. Educational Service District 113 practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Educational Service District 113 is 1952437824. The last update date is 2008-03-13.
Educational Service District 113's current location address is 601 Mcphee Rd Sw, Olympia, Washington. You can contact this provider via phone number 3604646874. The mailing address for Educational Service District 113 is 601 Mcphee Rd Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Educational Service District 113 |
|---|---|
| Address | 601 Mcphee Rd Sw, Olympia, Washington |
| Phone Number | 3604646874 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Vincent M Robert |
| Credentials | MA, CDP |
| Telephone Number | 3607902207 |
NPI Number Detail
| NPI Number | 1952437824 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 601 Mcphee Rd Sw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985025080 |
| Phone Number | 3604646874 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 23105800 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1994060 | WA | -- |
Post Comment/ Review Below
What is the Educational Service District 113's unique identification number?
The Educational Service District 113 has been assigned the NPI (National Provider Identifier) Number 1952437824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Educational Service District 113 is geographically located?
The Educational Service District 113 is physically situated at the following location: 601 Mcphee Rd Sw, Olympia, WA, 985025080.
What is Educational Service District 113's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Educational Service District 113 is Rehabilitation, Substance Use Disorder, and the taxonomy classification code that categorizes this area of expertise is 261Qr0405X.
When was the Educational Service District 113's 1952437824 issued?
The Educational Service District 113's 1952437824 was issued on 2007-02-26.
When was the information regarding Educational Service District 113 most recently updated?
The details pertaining to the Educational Service District 113, including its address, specialty, and other relevant information, were last refreshed on 2008-03-13.
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