Healthcare Provider Details

I. General information

NPI: 1518159367
Provider Name (Legal Business Name): ALTERNATIVES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 08/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3123 EAST LAKE AVE EAST SUITE 100
SEATTLE WA
98102
US

IV. Provider business mailing address

3123 EAST LAKE AVE EAST SUITE 100
SEATTLE WA
98102
US

V. Phone/Fax

Practice location:
  • Phone: 206-323-4750
  • Fax: 206-323-9563
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number17019800
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17019800
License Number StateWA

VIII. Authorized Official

Name: MR. PAUL B TRIBBLE
Title or Position: PRESIDENT DIRECTOR
Credential: CDP
Phone: 206-323-4750