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Organization

XDHEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DERRICK KRETSCHMER (DIRECTOR)
(253) 398-4765
Entity
Organization

Contact information

Practice address
2367 TACOMA AVE S # 102, TACOMA, WA 98402-1409
(509) 289-2980
Mailing address
3502 S MASON AVE APT 7E, TACOMA, WA 98409-8535
(661) 220-4947

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
09/23/2024
Last updated
01/13/2026
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