| |
6201 Pacific Ave Ste B7 Tacoma WA 98408-7423 | |
(253) 988-3849 | |
(253) 589-3591 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 6201 Pacific Ave Ste B7, Tacoma, Washington |
Authorized Official Name and Position | James Williams (CLINICAL DIRECTOR) |
Authorized Official Contact | 2539883849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 99881 Lakewood WA 98496-0881 Ph: (253) 988-3849 | 6201 Pacific Ave Ste B7 Tacoma WA 98408-7423 Ph: (253) 988-3849 |
NPI Number | 1427352327 |
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Provider Enumeration Date | 01/06/2011 |
Last Update Date | 01/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427352327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 602844680 (Washington) | Primary |
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