Whalio Doctors

NPI 1366560062

Pioneer Human Services

Organisation Substance Abuse Rehabilitation Facility Kent, WA

Practice location

Address
505 Washington Ave S, Kent, WA 98032-5709
Phone
(253) 856-1825
Fax
(253) 856-2457
Mailing address
7440 W Marginal Way S, Seattle, WA 98108-4141

Authorised official

Name
Tracey Ann Groscost
Title
Cfo
Phone
(206) 768-1990

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence RTF-1078 (WA)

Registry record

NPI
1366560062
Entity type
Organization
NPI issued
27 Mar 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.