Organization
CENTER FOR HUMAN SERVICES
Active
Parent organization
CENTER FOR HUMAN SERVICES
Other names
CHS Northshore 103rd
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR HUMAN SERVICES
Authorized official
BERATTA GOMILLION (EXECUTIVE DIRECTOR)
(206) 362-7282
Entity
Organization
Contact information
Practice address
18414 103RD AVE NE, BOTHELL, WA 98011-3410
(206) 362-7282
(206) 362-7152
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
(206) 362-7152
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
17153800
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
17153800
WA
Other
Enumeration date
06/11/2013
Last updated
06/14/2013
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