| Community Psychiatric Clinic Inc | |
|
11000 Lake City Way Ne Suite 200 Seattle WA 98125-6748 | |
| (206) 461-3614 | |
| (206) 634-0094 |
| Full Name | Community Psychiatric Clinic Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11000 Lake City Way Ne, Seattle, Washington |
| Authorized Official Name and Position | Kelcey Symons (ADMIN SUPERVISOR) |
| Authorized Official Contact | 2065452387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Psychiatric Clinic Inc 11000 Lake City Way Ne Suite 200 Seattle WA 98125-6748 Ph: (206) 461-3614 | Community Psychiatric Clinic Inc 11000 Lake City Way Ne Suite 200 Seattle WA 98125-6748 Ph: (206) 461-3614 |
| NPI Number | 1629120159 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629120159 | NPI | - | NPPES |
| 1981802 | Medicaid | WA | |
| 1992882 | Medicaid | WA | |
| 1992890 | Medicaid | WA | |
| 1992650 | Medicaid | WA | |
| 1992668 | Medicaid | WA | |
| 1992874 | Medicaid | WA |
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