| Drug Evaluation, Treatment & Outpatient Services Llc | |
|
10634 E Riverside Dr Ste 130 Bothell WA 98011-3758 | |
| (425) 806-5021 | |
| Not Available |
| Full Name | Drug Evaluation, Treatment & Outpatient Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10634 E Riverside Dr Ste 130, Bothell, Washington |
| Authorized Official Name and Position | Rebecca L Peterson (BUSINESS MANAGER) |
| Authorized Official Contact | 4258022861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drug Evaluation, Treatment & Outpatient Services Llc 10634 E Riverside Dr Ste 130 Bothell WA 98011-3758 Ph: (425) 806-5021 | Drug Evaluation, Treatment & Outpatient Services Llc 10634 E Riverside Dr Ste 130 Bothell WA 98011-3758 Ph: (425) 806-5021 |
| NPI Number | 1699948570 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699948570 | NPI | - | NPPES |
| 426 | Other | WA | DETOCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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