Organization
PIERCE COUNTY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S NEISWENDER (CFO)
(253) 502-5403
Entity
Organization
Contact information
Practice address
2000 LAKERIDGE DR. SW, BLDG. 2 THURSTON COUNTY DRUG COURT, OLYMPIA, WA 98502
(360) 357-2482
Mailing address
510 TACOMA AVE S, TACOMA, WA 98402-5416
(253) 502-5403
(253) 272-6788
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
34140400
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588869093
—
WA
Enumeration date
06/02/2011
Last updated
06/02/2011
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