Organization
CENTER FOR HUMAN SERVICES
Active
Parent organization
CENTER FOR HUMAN SERVICES
Other names
CHS Northshore 23rd
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
22105 23RD DR SE, BOTHELL, WA 98021-4409
(206) 362-7282
(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
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
17126000
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
17126000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995265
—
WA
Enumeration date
11/01/2006
Last updated
06/14/2013
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