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NPI Code Detail

MEDICARE: CHILD STUDY AND TREATMENT CENTER

MEDICARE: CHILD STUDY AND 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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1487648721
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD STUDY AND TREATMENT CENTER
Provider Business Mailing Address
First Line : 8805 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-4770
Country : US
Telephone Number : 253-756-2322
Fax Number : 253-756-3911
Provider Business Practice Location Address
First Line : 8805 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-4770
Country : US
Telephone Number : 253-756-2322
Fax Number : 253-756-3911
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. KARL R BRIMNER
Credential :
Telephone Number : 253-756-2735
Provider Enumeration Date : 09/01/2005
Last Update Date : 08/22/2020

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Directions to “CHILD STUDY AND TREATMENT CENTER ” Practice Location

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