Organization Name: | ALESEK INSTITUTE |
NPI Number: | 1942359807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL LOUIS REICHERT (DIRECTOR OF MEDICAID ADMINISTRATION) |
Mailing Address: | 5919 N Levee Rd Fife |
State: | WA US |
Postal Code: | 984242321 |
Phone Number: | 2539225269 |
Fax Number: | 2539220910 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1981117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |