Organization
PUYALLUP TRIBAL HEALTH AUTHORITY
Active
Other names
PUYALLUP TRIBAL HEALTH AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HENRY (EXECUTIVE DIRECTOR)
(253) 593-0232
Entity
Organization
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404
(253) 593-0232
(253) 382-2091
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
WA
324500000X
Substance Abuse Rehabilitation Facility
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980762
—
WA
05
—
1990456
—
WA
01
—
366486003
OPTIONS INPT
WA
01
—
366486004
OPTIONS OUTPT
WA
01
—
PU6550
REGENCE
WA
Enumeration date
02/23/2007
Last updated
07/13/2018
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