Organization
SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Active
Other names
STOP Shelton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW L TATUM MBA (ADMINISTRATOR)
(253) 471-0890
Entity
Organization
Contact information
Practice address
611 W COTA ST, SHELTON, WA 98584-2241
(360) 426-5654
(360) 426-5641
Mailing address
PO BOX 126, SHELTON, WA 98584-0126
(360) 426-5654
(360) 426-5641
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
01/09/2020
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