NPIMap

Organization Active NPI

Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hoquiam, WA
National Provider Identifier
1609902485
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
14096600 Issued in WA
Legal business name
EDUCATIONAL SERVICE DISTRICT 113
Practice address
305 Simpson Ave
Hoquiam, WA 98550-2419
Phone
(360) 464-6874
NPI assigned
Feb 26, 2007
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Wick
Title
Executive Director
Phone
(360) 464-6874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 14096600 WA Primary

Addresses

Primary practice location

305 Simpson Ave
Hoquiam, WA 98550-2419

Mailing address

6005 Tyee Dr SW
Tumwater, WA 98512-7356
Phone (360) 464-6874

Other names 1

  • True North Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Educational Service District 1138 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 S K St
Aberdeen, WA 98520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1609902485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 TYEE DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127356",
            "telephone_number": "360-464-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SIMPSON AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502419",
            "telephone_number": "360-464-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL SERVICE DISTRICT 113",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-464-6874"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "14096600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True North Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hoquiam, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.