OrganizationActive

Center for Human Services

NPI 1053498220 · Substance Use Disorder Rehabilitation Clinic/Center · Shoreline, WA

Provider details

NPI number: 1053498220
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Beratta Gomillion, Executive Director(206) 362-7282

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405XLicense 17015900 (WA)
Ambulatory Health Care Facilities
Addiction (Substance Use Disorder) Counselor101YA0400X
Behavioral Health & Social Service Providers
Case Management Agency251B00000XLicense 17015900 (WA)
Agencies
Community/Behavioral Health Agency251S00000XLicense 17015900 (WA)
Agencies
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 154 (WA)
Ambulatory Health Care Facilities

17018 15th Ave Ne

Shoreline, WA 98155-5126

Phone: (206) 362-7282

Fax: (206) 362-7152

Approximate (ZIP-level) locationGet directions

17018 15th Ave Ne

Shoreline, WA 98155-5126

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.