| Esd 113 Sound To Harbor Head Start/eceap | |
|
6005 Tyee Dr Sw Tumwater WA 98512-7356 | |
| (360) 464-6800 | |
| (360) 464-6903 |
| Full Name | Esd 113 Sound To Harbor Head Start/eceap |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6005 Tyee Dr Sw, Tumwater, Washington |
| Authorized Official Name and Position | Matthew Solomon (ASSISTANT SUPERINTENDENT) |
| Authorized Official Contact | 3604646800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esd 113 Sound To Harbor Head Start/eceap 6005 Tyee Dr Sw Tumwater WA 98512-7356 Ph: (360) 464-6800 | Esd 113 Sound To Harbor Head Start/eceap 6005 Tyee Dr Sw Tumwater WA 98512-7356 Ph: (360) 464-6800 |
| NPI Number | 1639601719 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639601719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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