Educational Service District 113
NPI #1285886655 in Raymond, Washington
Provider Information
- NPI Number
- 1285886655
- Entity Type
- Organization
- Organization Name
- Educational Service District 113
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Oct 16, 2008
- Last Updated
- Sep 24, 2009
Practice Location
- Address
- 22 VIKING WAY
- City
- Raymond
- State
- Washington
- ZIP Code
- 98577-9308
- Phone
- (360) 942-2006
Authorized Official
- Name
- MR. ROBERT M VINCENT, MA, CDP
- Title
- ADMINISTRATOR
- Phone
- (360) 790-2207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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