Organization
ASIAN AMERICAN CHEMICAL DEPENDENCY TREATMENT SERVICES
Active
Other names
Asian Counseling Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
TAE SON LEE CDP (EXECUTIVE DIRECTOR)
(253) 302-3826
Entity
Organization
Contact information
Practice address
4629 168TH ST SW STE E, LYNNWOOD, WA 98037-8640
(425) 776-1290
(425) 776-1298
Mailing address
9100 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2427
(253) 302-3826
(253) 267-5212
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
31130100
WA
251S00000X
Community/Behavioral Health Agency
Primary
31130100
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
31130100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096846
—
WA
Enumeration date
06/07/2011
Last updated
12/09/2024
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