| Diagnostic & Treatment Center, Llc | |
|
1818 Cole St Enumclaw WA 98022-3504 | |
| (360) 825-9205 | |
| Not Available |
| Full Name | Diagnostic & Treatment Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1818 Cole St, Enumclaw, Washington |
| Authorized Official Name and Position | Cynthia Waltman (PRESIDENT) |
| Authorized Official Contact | 3608259205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic & Treatment Center, Llc 1818 Cole St Enumclaw WA 98022-3504 Ph: () - | Diagnostic & Treatment Center, Llc 1818 Cole St Enumclaw WA 98022-3504 Ph: (360) 825-9205 |
| NPI Number | 1427258250 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427258250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY00002405 (Washington) | Primary |
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