| |
1419 Yakima Ave Tacoma WA 98405-4458 | |
(253) 272-1759 | |
(253) 627-1784 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 1419 Yakima Ave, Tacoma, Washington |
Authorized Official Name and Position | Kenneth Gibson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2532721759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1419 Yakima Ave Tacoma WA 98405-4458 Ph: (253) 272-1759 | 1419 Yakima Ave Tacoma WA 98405-4458 Ph: (253) 272-1759 |
NPI Number | 1477784809 |
---|---|
Provider Enumeration Date | 08/03/2009 |
Last Update Date | 08/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477784809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 602412772 (Washington) | Primary |
251V00000X | Voluntary Or Charitable | 602412772 (Washington) | Secondary |
Sankofa Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Westridge Ave W # A, Tacoma, WA 98466 Phone: 253-348-3536 Fax: 253-954-1890 | |
Grit City Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 S 7th St, Tacoma, WA 98405 Phone: 253-302-4639 | |
Imagine Behavioral And Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Tacoma, WA 98499 Phone: 253-682-0320 |