Tacoma Detoxification Center

LBN: Tacoma Detoxification Center
Tacoma Detoxification Center is an health care organization with primary practice located at 721 Fawcett Ave Suite 100, Tacoma WA 98402-5502. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Tacoma Detoxification Center can be contacted via phone (253) 593-2413, or through Degruy, Mary Elizabeth via phone (253) 284-7821.

Contact Information

Primary practice address
721 Fawcett Ave Suite 100 Tacoma WA 98402-5502
Phone: (253) 593-2413
Fax: (253) 627-4817
Website:
Map and Directions
Authorized official contact:
Name: Degruy, Mary Elizabeth
Phone: (253) 284-7821

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X RTF1067 Washington

Profile Details

NPI number 1285757450
LBN Legal business name Tacoma Detoxification Center
DBA Doing business as
Authorized official Degruy, Mary Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285757450 NPPES
Washington MEDICAID 1994219

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