Cognitive Growth Mental Health | |
6314 19th St W Ste 7 Fircrest WA 98466-6223 | |
(206) 701-1962 | |
(866) 434-6268 |
Full Name | Cognitive Growth Mental Health |
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Speciality | Clinic/center - Adult Mental Health |
Location | 6314 19th St W Ste 7, Fircrest, Washington |
Authorized Official Name and Position | Robert Cecil Groetken (OWNER) |
Authorized Official Contact | 2067011962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cognitive Growth Mental Health 3800 Bridgeport Way W Ste A #302 University Place WA 98466-4495 Ph: (206) 701-1962 | Cognitive Growth Mental Health 6314 19th St W Ste 7 Fircrest WA 98466-6223 Ph: (206) 701-1962 |
NPI Number | 1871243808 |
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Provider Enumeration Date | 03/24/2022 |
Last Update Date | 11/24/2022 |
Certification Date | 11/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871243808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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