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2111 N Northgate Way Ste 101 Seattle WA 98133-9018 | |
| (206) 309-3740 | |
| (206) 260-0020 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2111 N Northgate Way Ste 101, Seattle, Washington |
| Authorized Official Name and Position | Krista Gilbert (CEO) |
| Authorized Official Contact | 2088102704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3515 E Overland Rd Meridian ID 83642-6757 Ph: (208) 605-7070 | 2111 N Northgate Way Ste 101 Seattle WA 98133-9018 Ph: (206) 309-3740 |
| NPI Number | 1942735667 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942735667 | NPI | - | NPPES |
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