Organization
COUNTY OF PIERCE
Active
Other names
Pierce County Residential Treatment Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E. STEWART (DIRECTOR)
(253) 798-4500
Entity
Organization
Contact information
Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4255
Mailing address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4255
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
RTF-1077
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146315
L&I
WA
05
—
7136344
—
WA
Enumeration date
05/11/2007
Last updated
10/10/2007
Update your record
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