Organization
PROSPERITY COUNSELING & TREATMENT SERVICES INC.
Active
Parent organization
PROSPERITY COUNSELING & TREATMENT SERVICES INC.
Other names
Prosperity Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSPERITY COUNSELING & TREATMENT SERVICES INC.
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
12201 PACIFIC AVE S, TACOMA, WA 98444-5126
(253) 536-6425
(253) 536-6637
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
168900
WA
Other
Enumeration date
02/23/2017
Last updated
01/02/2024
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