Healthcare Provider Details

I. General information

NPI: 1477644201
Provider Name (Legal Business Name): PERINATAL TREATMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N 130TH ST
SEATTLE WA
98133-7946
US

IV. Provider business mailing address

600 N 130TH ST
SEATTLE WA
98133-7946
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-1300
  • Fax: 206-223-1279
Mailing address:
  • Phone: 206-223-1300
  • Fax: 206-223-1279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberRTF1038
License Number StateWA

VIII. Authorized Official

Name: KAY E SEIM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 206-223-1300