| Fait | |
|
15640 Ne Fourth Plain Blvd Ste 106/607 Vancouver WA 98682 | |
| (971) 204-8910 | |
| Not Available |
| Full Name | Fait |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15640 Ne Fourth Plain Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Arianna Kee (CEO) |
| Authorized Official Contact | 9712048910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fait 15640 Ne Fourth Plain Blvd Ste 106/607 Vancouver WA 98682 Ph: (971) 204-8910 | Fait 15640 Ne Fourth Plain Blvd Ste 106/607 Vancouver WA 98682 Ph: (971) 204-8910 |
| NPI Number | 1629829544 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629829544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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