| Cjk Community Homes | |
|
2367 Tacoma Ave S # 215 Tacoma WA 98402-1409 | |
| (253) 507-3576 | |
| Not Available |
| Full Name | Cjk Community Homes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2367 Tacoma Ave S # 215, Tacoma, Washington |
| Authorized Official Name and Position | Noemi S Cagatin-porter (OWNER/PRESIDENT) |
| Authorized Official Contact | 2535073576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cjk Community Homes 2367 Tacoma Ave S # 215 Tacoma WA 98402-1409 Ph: (253) 507-3576 | Cjk Community Homes 2367 Tacoma Ave S # 215 Tacoma WA 98402-1409 Ph: (253) 507-3576 |
| NPI Number | 1144970542 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144970542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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