Organization
PIONEER HUMAN SERVICES
Active
Other names
Pioneer Counseling Tacoma - Fawcett Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE WOOLWORTH (VICE PRESIDENT, TREATMENT & REENTRY)
(206) 766-7018
Entity
Organization
Contact information
Practice address
1111 FAWCETT AVE STE 200, TACOMA, WA 98402-2024
(253) 274-0484
(253) 274-1457
Mailing address
7440 W. MARGINAL WAY S., PIONEER HUMAN SERVICES - CONTRACTS, SEATTLE, WA 98108-4141
(206) 768-1990
(206) 768-8910
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27114000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995091
—
WA
Enumeration date
04/06/2007
Last updated
01/17/2019
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