Whalio Doctors

NPI 1285757450

Tacoma Detoxification Center

Organisation Substance Abuse Rehabilitation Facility Tacoma, WA

Practice location

Address
721 Fawcett Ave Suite 100, Tacoma, WA 98402-5502
Phone
(253) 593-2413
Fax
(253) 627-4817
Mailing address
721s Fawcett STE 100, Tacoma, WA 98402-5502

Authorised official

Name
Mary Elizabeth Degruy
Title
Program Director
Phone
(253) 284-7821

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence RTF1067 (WA)

Registry record

NPI
1285757450
Entity type
Organization
NPI issued
10 Apr 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.