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Organization

EVERGREEN TREATMENT SERVICES UNIT 6

Active
Parent organization
EVERGREEN TREATMENT SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
EVERGREEN TREATMENT SERVICES
Authorized official
MARGARET CARNEY (EXECUTIVE DIRECTOR)
(206) 223-3644
Entity
Organization

Contact information

Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
17 0163 00
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1994607
WA
05
8008203
WA
Enumeration date
01/25/2007
Last updated
04/11/2017
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