Provider Demographics
NPI:1386278372
Name:SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Entity type:Organization
Organization Name:SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Other - Org Name:
Other - Org Type:
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 1:600 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:OTHELLO
Mailing Address - State:WA
Mailing Address - Zip Code:99344-1703
Mailing Address - Country:US
Mailing Address - Phone:509-331-7654
Mailing Address - Fax:509-257-3118
Practice Address - Street 1:600 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:OTHELLO
Practice Address - State:WA
Practice Address - Zip Code:99344-1703
Practice Address - Country:US
Practice Address - Phone:509-331-7654
Practice Address - Fax:509-257-3118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder