Organization
COUNTY OF PIERCE
Active
Parent organization
COUNTY OF PIERCE
Other names
Pierce County Residential Treatment Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF PIERCE
Authorized official
MR. DAVID E. STEWART (DIRECTOR)
(253) 798-4500
Entity
Organization
Contact information
Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Mailing address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RTF - FS - 00001077
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221418
STATE OF WA L&I PHARMACY #
WA
05
—
6030548
—
WA
05
—
7136344
—
WA
05
—
7139710
—
WA
05
—
7142797
—
WA
01
—
8949228
STATE OF WA L&I CRIME VICTIMS COMPENSATION PROGRAM
—
05
—
9657370
—
WA
01
—
L&I
146316
WA
Enumeration date
04/17/2009
Last updated
04/17/2009
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