Department Of Social
Psychiatric Hospital in Tacoma, WA. Organization (NPI-2).
NPI number1144295080
StatusActive
Last updated in NPPESOct 5, 2015
Details
- NPI
- 1144295080
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Social
- Organization subpart
- No
- Enumeration date
- Feb 22, 2006
- Last updated
- Oct 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | – | – | Yes |
Other names
- Western State Hospital (Doing Business As)
Practice location
9601 Steilacoom Blvd SwTacoma, WA 98498-7213
Phone 253-582-8900 · Fax 253-756-2963
Mailing address
9601 Steilacoom Blvd SwLakewood, WA 98498-7212
Phone 253-582-8900 · Fax 253-756-2963
Authorized official
Donald Brent Liteanu
Interim Medical Director
2537562599
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