Organization
METROPOLITAN DEVELOPMENT COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PEREBOOM (PERSIDENT AND CEO)
(253) 591-0113
Entity
Organization
Contact information
Practice address
721 FAWCETT AVE STE 100, TACOMA, WA 98402-5502
(253) 207-4302
Mailing address
945 FAWCETT AVE, TACOMA, WA 98402-5612
(253) 284-9049
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RTF.FS.60503763
WA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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