Organization
CROSSROADS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH THUNDERWALKER SAUCIER, SUDP SUDP (OWNER /DIRECTOR)
(253) 473-7474
Entity
Organization
Contact information
Practice address
8717 S HOSMER ST, TACOMA, WA 98444-1819
(253) 473-7474
(253) 474-9724
Mailing address
8717 S HOSMER ST, TACOMA, WA 98444-1819
(253) 473-7474
(253) 474-9724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27099800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209641500
—
WA
Enumeration date
05/07/2007
Last updated
03/21/2022
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