CENTER FOR HUMAN SERVICES NPI 1730266917

NPI Information

  • NPI: 1730266917
  • Provider Name: CENTER FOR HUMAN SERVICES
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: CHS NORTHSHORE 23RD
  • Address: 22105 23RD DR SE
    BOTHELL, WA
    ZIP 98021
  • Phone: (206) 362-7282

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NPI Details

CENTER FOR HUMAN SERVICES is a rehabilitation and substance use disorder clinic center in Bothell, WA. CENTER FOR HUMAN SERVICES NPI is 1730266917. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Chs Northshore 23rd.

The provider's business location address is:

22105 23RD DR SE
BOTHELL, WA
ZIP 98021-409
Phone: (206) 362-7282
Fax: (206) 362-7152

The provider's authorized official is Beratta Gomillion .
The authorized official title is Executive Director and has the following contact phone number (206) 362-7282.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 6/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251B00000XCase Management17126000WASHINGTONNo
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder17126000WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11995265MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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