Organization
PIONEER HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY GROSCOST (CFO)
(206) 768-1990
Entity
Organization
Contact information
Practice address
505 WASHINGTON AVE S, KENT, WA 98032-5709
(253) 856-1825
(253) 856-2457
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
(206) 768-1990
(206) 768-8910
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
17128100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995943
—
WA
Enumeration date
02/24/2010
Last updated
02/24/2010
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