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555 Andover Park W Ste 200 Tukwila WA 98188-3379 | |
| (206) 593-6666 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 555 Andover Park W Ste 200, Tukwila, Washington |
| Authorized Official Name and Position | Ahmed H Salad (CEO) |
| Authorized Official Contact | 2065936666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
555 Andover Park W Ste 200 Tukwila WA 98188-3379 Ph: () - | 555 Andover Park W Ste 200 Tukwila WA 98188-3379 Ph: (206) 593-6666 |
| NPI Number | 1215755343 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215755343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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