| Catholic Community Services Of Western Washington | |
|
5410 N 44th St Tacoma WA 98407-3799 | |
| (253) 759-9544 | |
| Not Available |
| Full Name | Catholic Community Services Of Western Washington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5410 N 44th St, Tacoma, Washington |
| Authorized Official Name and Position | Stephanie M. Thelen (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Contact | 2537613898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Community Services Of Western Washington 1001 N J St Tacoma WA 98403-2125 Ph: (253) 761-3898 | Catholic Community Services Of Western Washington 5410 N 44th St Tacoma WA 98407-3799 Ph: (253) 759-9544 |
| NPI Number | 1750849592 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750849592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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