| Educational Service District 113 | |
|
6005 Tyee Dr Sw Tumwater WA 98512-7356 | |
| (360) 464-6874 | |
| Not Available |
| Full Name | Educational Service District 113 |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6005 Tyee Dr Sw, Tumwater, Washington |
| Authorized Official Name and Position | Erin Wick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3604646874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educational Service District 113 6005 Tyee Dr Sw Tumwater WA 98512-7356 Ph: (360) 464-6874 | Educational Service District 113 6005 Tyee Dr Sw Tumwater WA 98512-7356 Ph: (360) 464-6874 |
| NPI Number | 1851427710 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 05/21/2026 |
| Certification Date | 05/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851427710 | NPI | - | NPPES |
| 1020648 | Medicaid | WA | |
| 1993724 | Medicaid | WA |
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