| Pacific Mental Health | |
|
316 Main St Suite A1 Edmonds WA 98020-3197 | |
| (206) 658-3920 | |
| Not Available |
| Full Name | Pacific Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 316 Main St, Edmonds, Washington |
| Authorized Official Name and Position | Carolyn A Russo (PART OWNER) |
| Authorized Official Contact | 2066583920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mental Health 230 Nw 201st St Shoreline WA 98177-2012 Ph: (206) 658-3920 | Pacific Mental Health 316 Main St Suite A1 Edmonds WA 98020-3197 Ph: (206) 658-3920 |
| NPI Number | 1679970925 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679970925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH60500437 (Washington) | Secondary |
| 251S00000X | Community/behavioral Health | LH60320548 (Washington) | Primary |
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