Organization
SAUK-SUIATTLE INDIAN TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KIPPES (HEALTH & SOCIAL SERVICES DIRECTOR)
(360) 436-0131
Entity
Organization
Contact information
Practice address
5318 CHIEF BROWN LN, DARRINGTON, WA 98241-9420
(360) 436-1400
(360) 436-0242
Mailing address
5318 CHIEF BROWN LN, DARRINGTON, WA 98241-9420
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790269447
—
WA
05
—
1981315
—
WA
Enumeration date
01/26/2007
Last updated
01/21/2025
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