| NPI | 1770714693 |
|---|---|
| Doing Business As | PROVIDENCE ST PETER HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | NICOLE QUINN Payor Credentialing Manager 425-525-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2010-12-22 |