Provider Demographics
NPI:1548387004
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
Mailing Address - Country:US
Mailing Address - Phone:253-284-7814
Mailing Address - Fax:253-593-2396
Practice Address - Street 1:1110 FRYAR AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1511
Practice Address - Country:US
Practice Address - Phone:253-863-0682
Practice Address - Fax:253-863-0785
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