Organization
BIMA THERAPUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGETTE L JOHNSON LSWAIC; SUDP (CEO)
(206) 393-2273
Entity
Organization
Contact information
Practice address
1106 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405
(206) 393-2273
Mailing address
P.O. BOX 98183, LAKEWOOD, WA 98496
(206) 393-2273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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