| Puget Mental Care Llc | |
|
4009 Bridgeport Way W # 1a University Place WA 98466-4326 | |
| (253) 503-6761 | |
| Not Available |
| Full Name | Puget Mental Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4009 Bridgeport Way W # 1a, University Place, Washington |
| Authorized Official Name and Position | Robert Kopec (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2533048039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puget Mental Care Llc 4009 Bridgeport Way W # 1a University Place WA 98466-4326 Ph: () - | Puget Mental Care Llc 4009 Bridgeport Way W # 1a University Place WA 98466-4326 Ph: (253) 503-6761 |
| NPI Number | 1215334982 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 11/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215334982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP60411730 (Washington) | Primary |
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