Organization
CENTER FOR HUMAN SERVICES
Active
Other names
CHS Shoreline 170th
Organization subpart
No
Provider details
NPI number
Authorized official
BERATTA GOMILLION (EXECUTIVE DIRECTOR)
(206) 362-7282
Entity
Organization
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
(206) 362-7152
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
(206) 362-7152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
17015900
WA
251S00000X
Community/Behavioral Health Agency
17015900
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
154
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
17015900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990308
—
WA
Enumeration date
11/01/2006
Last updated
09/17/2016
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