Organization
CENTER FOR HUMAN SERVICES
Active
Parent organization
CENTER FOR HUMAN SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR HUMAN SERVICES
Authorized official
BERATTA GOMILLION (EXECUTIVE DIRECTOR)
(206) 362-7282
Entity
Organization
Contact information
Practice address
21907 64TH AVE W, SUITE 240, MOUNTLAKE TERRACE, WA 98043-2200
(206) 632-7282
(206) 362-7152
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
(206) 362-7152
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292
DBHR STATE MH LICENSE
WA
01
—
31 162600
DBHR STATE CD LICENSE
WA
Enumeration date
11/13/2013
Last updated
11/13/2013
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