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Organization
EVERGREEN TREATMENT SERVICES
Active
Organization
EVERGREEN TREATMENT SERVICES
Active
Parent organization
EVERGREEN TREATMENT SERVICES
Other names
Evergreen Treatment Services, Unit 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN TREATMENT SERVICES
Authorized official
MARGARET CARNEY (EXECUTIVE DIRECTOR)
(206) 223-3644
Entity
Organization
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
17 0163 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990100
—
WA
05
—
8008203
—
WA
Enumeration date
01/25/2007
Last updated
01/02/2020
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