Organization
PUYALLUP TRIBAL HEALTH AUTHORITY
Active
Other names
KWAWACHEE COUNSELING CENTER, PUYALLUP TRIBAL HEALTH AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS HENRY (EXECUTIVE DIRECTOR)
(253) 593-0232
Entity
Organization
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404
(253) 593-0232
(253) 382-2091
Mailing address
2209 E 32ND ST, P.O. BOX 8009, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980762
—
WA
01
—
366486002
GROUP HEALTH OPTIONS
WA
Enumeration date
06/01/2006
Last updated
07/13/2018
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