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TACOMA DETOXIFICATION CENTER
NPI 1285757450
Substance Abuse Rehabilitation Facility in Tacoma, WA

Active since April 10, 2007
721 FAWCETT AVE, SUITE 100, TACOMA, WA 98402(253) 593-2413(253) 627-4817 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tacoma Detoxification Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TACOMA DETOXIFICATION CENTER (NPI 1285757450) is a healthcare organization registered as a substance abuse rehabilitation facility in Tacoma, Washington and active in the NPI registry since April 2007. The organization lists Mary Elizabeth Degruy, Program Director, as its authorized official.

NPPES Registry Identity

NPI1285757450
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTACOMA DETOXIFICATION CENTER
Location Address721 FAWCETT AVE, SUITE 100Tacoma, WA 98402-5502
Mailing Address721s Fawcett, Ste 100Tacoma, WA 98402-5502 · (253) 593-2413 · Fax (253) 627-4817
Phone(253) 593-2413
Fax(253) 627-4817
Organization SubpartNo
Authorized OfficialMary Elizabeth DegruyProgram Director · (253) 284-7821
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285757450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in WA · RTF1067
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
721 FAWCETT AVE, Tacoma, WA 98402
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Other Identifiers 1

Medicaid1994219WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN PYNE
Technician/Technologist
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 244-0665
GEORGINA C MAY
Case Manager/Care Coordinator
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 383-3921
STEPHEN JEFFREY FERRIS
Case Manager/Care Coordinator
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 344-3985
METROPALITAN DEVELOPMENT COUNCIL
Community/Behavioral Health
721 FAWCETT AVE, SUITE 101
TACOMA, WA 98402
Pierce County (253) 284-9041
REGINALD RODRIQUEZ ZANDERS
Counselor (Mental Health)
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 207-4301
LYNDSEY M COREY MHA
Behavior Analyst
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 207-4301
MISTY MICHELLE GILLARDUCCI CARE COORDINATOR/CPC
Case Manager/Care Coordinator
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 290-0464
CORINNE CRUZ
Social Worker
721 FAWCETT AVE
TACOMA, WA 98402
Pierce County (253) 207-4301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tacoma Detoxification Center's NPI number?

The NPI number for Tacoma Detoxification Center is 1285757450. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Tacoma Detoxification Center located?

Tacoma Detoxification Center is located at 721 Fawcett Ave Suite 100, Tacoma, WA 98402. The listed phone number is (253) 593-2413.

What is Tacoma Detoxification Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Tacoma Detoxification Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.