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NPI Code Detail

MEDICARE: WEST SOUND TREATMENT CENTER

MEDICARE: WEST SOUND TREATMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorWA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518183763
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST SOUND TREATMENT CENTER
Provider Business Mailing Address
First Line : 1415 LUMSDEN RD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-9179
Country : US
Telephone Number : 360-876-9430
Fax Number : 360-876-0713
Provider Business Practice Location Address
First Line : 1415 LUMSDEN RD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98367-9179
Country : US
Telephone Number : 360-876-9430
Fax Number : 360-876-0713
Authorized Official
Title or Position : EXECUTIVE ASSISTANT
Name : MS. CHERIE E. DURHAM
Credential : AA
Telephone Number : 360-876-9430
Provider Enumeration Date : 04/17/2007
Last Update Date : 08/22/2020

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Directions to “WEST SOUND TREATMENT CENTER ” Practice Location

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