| Foundation Mental Health, Llc | |
|
203 N Washington St Suite 200 Spokane WA 99201-0233 | |
| (509) 473-9300 | |
| (509) 473-9231 |
| Full Name | Foundation Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 203 N Washington St, Spokane, Washington |
| Authorized Official Name and Position | Thomas C Sutherland (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 5094739300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Mental Health, Llc 203 N Washington St Suite 200 Spokane WA 99201-0233 Ph: (509) 473-9300 | Foundation Mental Health, Llc 203 N Washington St Suite 200 Spokane WA 99201-0233 Ph: (509) 473-9300 |
| NPI Number | 1669924916 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669924916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP60705521 (Washington) | Primary |
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