Provider Demographics
NPI:1487648721
Name:CHILD STUDY AND TREATMENT CENTER
Entity Type:Organization
Organization Name:CHILD STUDY AND TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRIMNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-756-2735
Mailing Address - Street 1:8805 STEILACOOM BLVD SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-4770
Mailing Address - Country:US
Mailing Address - Phone:253-756-2322
Mailing Address - Fax:253-756-3911
Practice Address - Street 1:8805 STEILACOOM BLVD SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-4770
Practice Address - Country:US
Practice Address - Phone:253-756-2322
Practice Address - Fax:253-756-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital