| Jumping Mouse Children's Center | |
|
1809 Sheridan St Port Townsend WA 98368-7610 | |
| (360) 379-5109 | |
| (360) 385-2684 |
| Full Name | Jumping Mouse Children's Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1809 Sheridan St, Port Townsend, Washington |
| Authorized Official Name and Position | Candida Carter (DATA AND FINANCE DIRECTOR) |
| Authorized Official Contact | 3603795109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jumping Mouse Children's Center 1809 Sheridan St Port Townsend WA 98368-7610 Ph: (360) 379-5109 | Jumping Mouse Children's Center 1809 Sheridan St Port Townsend WA 98368-7610 Ph: (360) 379-5109 |
| NPI Number | 1437374816 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437374816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 601174144 (Washington) | Primary |
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