| Department Of Human Services | |
|
1520 Kelly Pl Walla Walla WA 99362-8654 | |
| (509) 524-2920 | |
| (509) 524-2993 |
| Full Name | Department Of Human Services |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1520 Kelly Pl, Walla Walla, Washington |
| Authorized Official Name and Position | Sharon Saffer (DIRECTOR) |
| Authorized Official Contact | 5095242920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Human Services Po Box 1595 Walla Walla WA 99362-0329 Ph: (509) 524-2920 | Department Of Human Services 1520 Kelly Pl Walla Walla WA 99362-8654 Ph: (509) 524-2920 |
| NPI Number | 1508056847 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508056847 | NPI | - | NPPES |
| 251B00000X | Medicaid | WA | |
| 251S00000X | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Washington) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 1995034 (Washington) | Primary |
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