Providence Health & Services Washington
Providence Health & Services Washington is a Substance Use Disorder Rehabilitation Clinic/Center in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
4800 College St SELacey, WA 98503-4389
Phone: (360) 456-7575
Fax: (360) 493-5088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 34 0153 00 (WA) |
|---|
Record details
| NPI number | 1366641755 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786 |
| Other names | Providence St Peter Hospital - 2nd Claims |
| NPI enumerated | July 16, 2007 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | Po Box 34439, Seattle, WA 98124-1439 |
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Olympic Recovery Center LLC
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Providence Health & Services Washington
4800 College St SE, Lacey, WA 98503-4389 · (360) 456-7575
-
Royal Life Centers, LLC
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Royal Wa Lacey LLC
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