Provider Demographics
NPI:1033365929
Name:METROPALITAN DEVELOPMENT COUNCIL
Entity Type:Organization
Organization Name:METROPALITAN DEVELOPMENT COUNCIL
Other - Org Name:CENTER FOR SUBSTANCE ABUSE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:CDP CP00002990
Authorized Official - Phone:253-284-9041
Mailing Address - Street 1:721 FAWCETT AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-5502
Mailing Address - Country:US
Mailing Address - Phone:253-284-9041
Mailing Address - Fax:253-593-2396
Practice Address - Street 1:721 FAWCETT AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5502
Practice Address - Country:US
Practice Address - Phone:253-284-9041
Practice Address - Fax:253-593-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27018900251S00000X
WA27018903251S00000X
WA27018904251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health