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21851 84th Ave S # 101 Kent WA 98032-1958 | |
| (425) 687-7082 | |
| (425) 687-7352 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 21851 84th Ave S # 101, Kent, Washington |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | 21851 84th Ave S # 101 Kent WA 98032-1958 Ph: (425) 687-7082 |
| NPI Number | 1285772988 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285772988 | NPI | - | NPPES |
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