| Pivotal Center | |
|
19987 1st Ave S Ste 101 Normandy Park WA 98148-2400 | |
| (206) 715-8640 | |
| Not Available |
| Full Name | Pivotal Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 19987 1st Ave S Ste 101, Normandy Park, Washington |
| Authorized Official Name and Position | Dafna Chen (OWNER) |
| Authorized Official Contact | 4254437900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Center 19987 1st Ave S Ste 101 Normandy Park WA 98148-2400 Ph: (206) 715-8640 | Pivotal Center 19987 1st Ave S Ste 101 Normandy Park WA 98148-2400 Ph: (206) 715-8640 |
| NPI Number | 1356838007 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356838007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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John Slightam Md Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19987 1st Ave S, Suite 101, Normandy Park, WA 98148 Phone: 206-824-5554 Fax: 206-824-5550 | |
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