NPI:
1952437824
Provider Name:
EDUCATIONAL SERVICE DISTRICT 113
Other Name: TRUE NORTH TREATMENT
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
807 W PINE ST
SHELTON, WA
ZIP 98584
Phone:
(360) 427-2050
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EDUCATIONAL SERVICE DISTRICT 113 is a rehabilitation and substance use disorder clinic center in Shelton, WA. EDUCATIONAL SERVICE DISTRICT 113 NPI is 1952437824. The provider is registered as an organization entity type.
The provider Other Name Is True North Treatment.
The provider's business location address is:
807 W PINE ST
SHELTON, WA
ZIP 98584-562
Phone: (360) 427-2050
The provider's authorized official is Robert M Vincent .
The authorized official title is Administrator and has the following contact phone number (360) 790-2207.
The enumeration date for this NPI number is 2/26/2007 and was last updated on 3/13/2008.