Organization
CRITICAL TIME INTERVENTION PIERCE COUNTY
Active
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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