Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 702 S 14th St, Tacoma, Washington |
Authorized Official Name and Position | Stephanie M. Thelen (COMPLIANCE & POLICY ANALYST) |
Authorized Official Contact | 2537613898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1323 Yakima Ave Tacoma WA 98405-4457 Ph: (253) 502-2696 | 702 S 14th St Tacoma WA 98405-4407 Ph: (253) 502-2780 |
NPI Number | 1699804435 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 10/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699804435 | NPI | - | NPPES |
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