| Hope Adult Treatment Medical Center Llc | |
|
19020 B St E Unit B Spanaway WA 98387-8310 | |
| (253) 208-9728 | |
| Not Available |
| Full Name | Hope Adult Treatment Medical Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 19020 B St E Unit B, Spanaway, Washington |
| Authorized Official Name and Position | Kimberly Y Wilkins (PMHNP) |
| Authorized Official Contact | 2532089728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Adult Treatment Medical Center Llc 19020 B St E Unit B Spanaway WA 98387-8310 Ph: (253) 208-9728 | Hope Adult Treatment Medical Center Llc 19020 B St E Unit B Spanaway WA 98387-8310 Ph: (253) 208-9728 |
| NPI Number | 1942079694 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942079694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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