Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Rehabilitation, Substance Use Disorder Unit |
276400000X |
| NPI Number | 1043441967 |
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| LBN Legal business name | PROVIDENCE HEALTH & SERVICES WASHINGTON | ||||
| Authorized official | DONALD ANDERSON - (ASSISTANT SECRETARY FOR ENROLLMENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/28/2009 | ||||
| Last updated | 05/15/2025 - More than a year ago | ||||
| Identifiers |
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PROVIDENCE HEALTH & SERVICES WASHINGTON
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