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Organization
EVERGREEN TREATMENT SERVICES UNIT 5
Active
Organization
EVERGREEN TREATMENT SERVICES UNIT 5
Active
Parent organization
EVERGREEN TREATMENT SERVICES
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
6700 MARTIN WAY E, OLYMPIA, WA 98516-6502
(360) 413-6910
(360) 413-9026
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
34 1119 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994243
—
WA
05
—
8008203
—
WA
Enumeration date
01/25/2007
Last updated
04/11/2017
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