Organization
PROSPERITY COUNSELING & TREATMENT SVCS
Active
Other names
Prosperity Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN GUSTILO (DIRECTOR OF PAYER RELATIONS)
(714) 568-7667
Entity
Organization
Contact information
Practice address
5001 112TH ST E, TACOMA, WA 98446-5307
(714) 828-1800
(714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500, IRVINE, CA 92612-8531
(714) 828-1800
(714) 882-1186
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RTF1042
WA
Other
Enumeration date
03/08/2007
Last updated
05/08/2023
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