Organization
CRITICAL TIME INTERVENTION PIERCE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LYENTTE KLEINER BA (DIRECTOR OF CLINICAL SERVICES)
(253) 348-3742
Entity
Organization
Contact information
Practice address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
(253) 348-3742
Mailing address
17110 31ST ST NW, LAKEBAY, WA 98349-8536
(253) 348-3742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/25/2023
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