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1001 Yakima Ave Ste 14 Tacoma WA 98405-4869 | |
(253) 267-5402 | |
(253) 328-7301 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1001 Yakima Ave Ste 14, Tacoma, Washington |
Authorized Official Name and Position | Rena Kay Thompson (PROGRAM DIRECTOR) |
Authorized Official Contact | 2534332321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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712 Martin Luther King Jr Way Po Box 5245 Tacoma WA 98405-4138 Ph: (253) 383-7710 | 1001 Yakima Ave Ste 14 Tacoma WA 98405-4869 Ph: (253) 267-5402 |
NPI Number | 1184159816 |
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Provider Enumeration Date | 05/01/2017 |
Last Update Date | 09/06/2023 |
Identifier | Type | State | Issuer |
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1184159816 | NPI | - | NPPES |
1184159816 | Medicaid | WA |
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