Chs Shoreline 170th | |
17018 15th Ave Ne Shoreline WA 98155-5126 | |
(206) 362-7282 | |
(206) 362-7152 |
Full Name | Chs Shoreline 170th |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 17018 15th Ave Ne, Shoreline, Washington |
Authorized Official Name and Position | Beratta Gomillion (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2063627282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chs Shoreline 170th 17018 15th Ave Ne Shoreline WA 98155-5126 Ph: (206) 362-7282 | Chs Shoreline 170th 17018 15th Ave Ne Shoreline WA 98155-5126 Ph: (206) 362-7282 |
NPI Number | 1053498220 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 09/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053498220 | NPI | - | NPPES |
1990308 | Medicaid | WA |
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