Organization
EVERGREEN TREATMENT SERVICES
Active
Other names
South Sound Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET CARNEY (EXECUTIVE DIRECTOR)
(206) 223-3644
Entity
Organization
Contact information
Practice address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
(360) 413-9026
Mailing address
6700 MARTIN WAY E STE 117, OLYMPIA, WA 98516-5586
(360) 413-6910
(360) 413-9026
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
34111900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995927
—
WA
05
—
8008203
—
WA
Enumeration date
06/10/2009
Last updated
04/11/2017
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