Organization
NEW PHOEBE HOUSE ASSOCIATION
Active
Other names
Holistic Recovery for Mothers
Organization subpart
No
Provider details
NPI number
Authorized official
RENA KAY THOMPSON (PROGRAM DIRECTOR)
(253) 433-2321
Entity
Organization
Contact information
Practice address
1001 YAKIMA AVE STE 14, TACOMA, WA 98405-4869
(253) 267-5402
(253) 328-7301
Mailing address
712 MARTIN LUTHER KING JR WAY, PO BOX 5245, TACOMA, WA 98405-4138
(253) 383-7710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184159816
—
WA
Enumeration date
05/01/2017
Last updated
09/06/2023
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