| |
6201 Pacific Ave Ste C3 Tacoma WA 98408 | |
(253) 363-8853 | |
(253) 292-1919 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6201 Pacific Ave Ste C3, Tacoma, Washington |
Authorized Official Name and Position | Troy A Huffman (DIRECTOR OF SERVICES) |
Authorized Official Contact | 2533631453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6201 Pacific Ave Ste C3 Tacoma WA 98408-7423 Ph: (253) 363-1453 | 6201 Pacific Ave Ste C3 Tacoma WA 98408 Ph: (253) 363-8853 |
NPI Number | 1609374040 |
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Provider Enumeration Date | 01/31/2018 |
Last Update Date | 11/25/2024 |
Certification Date | 11/25/2024 |
Identifier | Type | State | Issuer |
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1609374040 | NPI | - | NPPES |
2155957 | Medicaid | WA |
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