Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Other names
Catholic Community Services South King County
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST)
(253) 761-3898
Entity
Organization
Contact information
Practice address
1229 W SMITH ST, KENT, WA 98032-4317
(253) 854-0077
(253) 850-2503
Mailing address
PO BOX 398, KENT, WA 98035-0398
(253) 854-0077
(253) 850-2503
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
17112500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17112500
CHEMICAL DEPENDENCY
WA
Enumeration date
01/08/2007
Last updated
10/15/2018
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