Organization
THE CAMELOT SOCIETY
Active
Organization
THE CAMELOT SOCIETY
Active
Other names
Bedford Group Home, Camelot Society, Brookhaven Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY E BALDWIN (BOOKKEEPER)
(425) 422-5563
Entity
Organization
Contact information
Practice address
17235 126TH PL NE, WOODINVILLE, WA 98072-7923
(425) 481-5853
(425) 481-5763
Mailing address
6912 220TH ST SW STE 301, MOUNTLAKE TERRACE, WA 98043-2171
(425) 771-2108
(425) 771-2126
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4967006
DSHS
WA
Enumeration date
05/18/2007
Last updated
08/08/2025
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