Organization
MULTICARE HEALTH SYSTEM
Active
Other names
Adolescent Behavioral Health at Tacoma General
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GLENN ROBERTSON (CEO)
(253) 403-1272
Entity
Organization
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-0556
Mailing address
P.O. BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
601100682
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071315
—
WA
01
—
500129
MEDICARE PROVIDER NUMBER
WA
Enumeration date
10/20/2016
Last updated
08/04/2025
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