Organization
FOR THE CULTURE COUNSELING SERVICES
Active
Other names
For The Culture Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KISELA CANADA SUDP (PROGRAM DIRECTOR)
(253) 507-5334
Entity
Organization
Contact information
Practice address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
(206) 383-0810
Mailing address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
(253) 507-5334
(253) 330-5182
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083180426
—
WA
05
—
1336686468
—
WA
Enumeration date
10/12/2020
Last updated
03/31/2021
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