Provider Demographics
NPI:1235255092
Name:METROPOLITAN DEVELOPMENT COUNCIL
Entity Type:Organization
Organization Name:METROPOLITAN DEVELOPMENT COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GORRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:253-284-7814
Mailing Address - Street 1:721 SOUTH FAWCETT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-5502
Mailing Address - Country:US
Mailing Address - Phone:253-593-2740
Mailing Address - Fax:253-593-2396
Practice Address - Street 1:721 SOUTH FAWCETT
Practice Address - Street 2:SUITE 201
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5502
Practice Address - Country:US
Practice Address - Phone:253-593-2740
Practice Address - Fax:253-593-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility