Western State Hospital
Psychiatric Hospital in Tacoma, WA. Organization (NPI-2).
NPI number1710287479
StatusActive
Last updated in NPPESOct 28, 2010
Details
- NPI
- 1710287479
- Entity type
- Organization (NPI-2)
- Legal business name
- Western State Hospital
- Organization subpart
- No
- Enumeration date
- Oct 28, 2010
- Last updated
- Oct 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | PY60040431 | WA | Yes |
Practice location
9601 Steilacoom Blvd SwTacoma, WA 98498-7212
Phone 253-756-3971
Mailing address
9601 Steilacoom Blvd SwTacoma, WA 98498-7212
Phone 253-756-3971
Authorized official
Laurel C. Kelso
Psychiatric Socialworker Supervisor
2537562966
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