Organization
ASIAN AMERICAN CHEMICAL DEPENDENCY TREATMENT SERVICES
Active
Other names
Asian Counseling Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAE SON LEE CDP (EXECUTIVE DIRECTOR)
(253) 302-3826
Entity
Organization
Contact information
Practice address
9102 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2418
(253) 302-3826
(253) 267-5212
Mailing address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 302-3826
(253) 267-5212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27145700
WA
261Q00000X
Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
27145700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001629
—
WA
Enumeration date
07/27/2009
Last updated
12/09/2024
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