Organization
DRUG EVALUATION, TREATMENT & OUTPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L PETERSON (BUSINESS MANAGER)
(425) 802-2861
Entity
Organization
Contact information
Practice address
10634 E RIVERSIDE DR STE 130, BOTHELL, WA 98011-3758
(425) 806-5021
Mailing address
10634 E RIVERSIDE DR STE 130, BOTHELL, WA 98011-3758
(425) 806-5021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426
DETOCS
WA
Enumeration date
04/10/2008
Last updated
04/10/2008
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