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Educational Service District 113

Educational Service District 113 is a health care provider in Olympia, WA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 22 Viking Way, Raymond, WA 98577-9308, US
Practice Location Phone360-942-2006
Practice Location Fax
Legal Business NameEDUCATIONAL SERVICE DISTRICT 113
Other Organization NameTRUE NORTH TREATMENT
Other Organization Name TypeAn Other Name
NPI ?1285886655
Entity TypeOrganization
Enumeration Date ? Oct 16, 2008
Last Update Date ? Sep 24, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Educational Service District 113

SpecialtySpecializationLicenseLicense State
Clinic/CenterRehabilitation, Substance Use Disorder 25143100Washington

legacy-id-icon Legacy Provider IDs of Educational Service District 113

Provider IdIssuer StateIssuer TypeIssuer
1995885WashingtonMedicaid

official-icon Authorized Official of Educational Service District 113

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Educational Service District 113's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Robert M Vincent (MA, CDP)
Authorized Official Title/PositionADMINISTRATOR
Authorized Official Phone Number360-790-2207