Provider Demographics
NPI:1699828897
Name:SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Entity Type:Organization
Organization Name:SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Other - Org Name:STOP-ABERDEEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:253-471-0890
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-0209
Mailing Address - Country:US
Mailing Address - Phone:360-533-4997
Mailing Address - Fax:360-533-6099
Practice Address - Street 1:114 N PARK ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-5919
Practice Address - Country:US
Practice Address - Phone:360-533-4997
Practice Address - Fax:360-533-6099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA14012701251B00000X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251B00000XAgenciesCase Management