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TULALIP TRIBES OF WASHINGTON QUIL CEDA CREEK COUNSELING NPI 1699356683


NPI Information

NPI: 1699356683
Provider Name: TULALIP TRIBES OF WASHINGTON QUIL CEDA CREEK COUNSELING

Doing Business As: QUIL CEDA CREEK COUNSELING COMPANY

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 50D2272062

Address:
6330 31ST AVE NE STE 101
TULALIP, WA
ZIP 98271
Phone: (360) 716-2200
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TULALIP TRIBES OF WASHINGTON QUIL CEDA CREEK COUNSELING is a methadone clinic center in Tulalip, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. TULALIP TRIBES OF WASHINGTON QUIL CEDA CREEK COUNSELING NPI is 1699356683. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Quil Ceda Creek Counseling Company.

The provider's business location address is:

6330 31ST AVE NE STE 101
TULALIP, WA
ZIP 98271-423
Phone: (360) 716-2200

The provider's authorized official is Tanya Burns .
The authorized official title is Administrator and has the following contact phone number (360) 716-2200.

The CLIA number assigned to this NPI record is 50D2272062 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2021 and was last updated on 2/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.