Tacoma Detoxification Center

NPI 1285757450 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1285757450
Enumeration Date 04/10/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ELIZABETH MARY
Position PROGRAM DIRECTOR
Phone (253) 593-2413
Fax (253) 627-4817
Practice Location
721 FAWCETT AVE
SUITE 100
TACOMA WA, 98402-5502, US
Phone (253) 593-2413
Fax (253) 627-4817
Business Location
721S FAWCETT
STE 100
TACOMA WA, 98402-5502, US
Phone (253) 593-2413
Fax (253) 627-4817
Toxanomy
Taxonomy Code 324500000X
License State Washington
License Number RTF1067
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According to our database, Tacoma Detoxification Center NPI is 1285757450, taxonomy code is 324500000X and license number is RTF1067, license state is located at Washington. Tacoma Detoxification Center physically located at 721 Fawcett Ave, Tacoma WA, 98402-5502. NPI Number 1033115704 has the healthcare provider type.

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1285757450 NPI number is provided on an as is basis without warranty of any kind. 1285757450 is maintained by the National Plan & Provider Enumeration System. The contents of Tacoma Detoxification Center are for informational purposes only.