| |
11541 6th Ave E Tacoma WA 98445-8083 | |
(206) 422-9443 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 11541 6th Ave E, Tacoma, Washington |
Authorized Official Name and Position | Luis Armando Lemus (CEO) |
Authorized Official Contact | 2064229443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11541 6th Ave E Tacoma WA 98445-8083 Ph: (206) 422-9443 | 11541 6th Ave E Tacoma WA 98445-8083 Ph: (206) 422-9443 |
NPI Number | 1225879836 |
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Provider Enumeration Date | 06/06/2024 |
Last Update Date | 11/21/2024 |
Certification Date | 11/21/2024 |
Identifier | Type | State | Issuer |
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1225879836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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