Organization
SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC.
Active
Other names
STOP-Moses Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW TATUM MBA (COO/CFO)
(253) 471-0890
Entity
Organization
Contact information
Practice address
104 W BROADWAY AVE, MOSES LAKE, WA 98837-1902
(509) 855-9494
(509) 765-4132
Mailing address
PO BOX 2147, MOSES LAKE, WA 98837-0547
(509) 855-9494
(509) 765-4132
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
01/09/2020
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