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.
|Practice Location|| 22 Viking Way, Raymond, WA 98577-9308, US |
|Practice Location Phone||360-942-2006|
|Practice Location Fax|
|Legal Business Name||EDUCATIONAL SERVICE DISTRICT 113|
|Other Organization Name||TRUE NORTH TREATMENT|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||Oct 16, 2008|
|Last Update Date ? ||Sep 24, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Educational Service District 113
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rehabilitation, Substance Use Disorder ||25143100||Washington|
Legacy Provider IDs of Educational Service District 113
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||ADMINISTRATOR|
|Authorized Official Phone Number||360-790-2207|