Organization
PIONEER HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY GROSCOST (CFO)
(206) 766-7015
Entity
Organization
Contact information
Practice address
1100 VIRGINIA ST, STE 210, SEATTLE, WA 98101-1439
(206) 470-3856
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
160
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
160
WA
261QM0850X
Adult Mental Health Clinic/Center
160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995083
—
WA
Enumeration date
11/27/2012
Last updated
11/27/2012
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