| West Sound Treatment Center | |
|
1415 Lumsden Rd Port Orchard WA 98367-9179 | |
| (360) 876-9430 | |
| (360) 876-0713 |
| Full Name | West Sound Treatment Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1415 Lumsden Rd, Port Orchard, Washington |
| Authorized Official Name and Position | Cherie E. Durham (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 3608769430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Sound Treatment Center 1415 Lumsden Rd Port Orchard WA 98367-9179 Ph: (360) 876-9430 | West Sound Treatment Center 1415 Lumsden Rd Port Orchard WA 98367-9179 Ph: (360) 876-9430 |
| NPI Number | 1518183763 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518183763 | NPI | - | NPPES |
| 1993500 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Washington) | Primary |
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