| Sea Mar Chc Seattle Adolescent Behavioral Health | |
|
9635 Des Moines Memorial Dr Ste 210 Seattle WA 98108-5061 | |
| (206) 658-2175 | |
| (206) 658-2170 |
| Full Name | Sea Mar Chc Seattle Adolescent Behavioral Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9635 Des Moines Memorial Dr Ste 210, Seattle, Washington |
| Authorized Official Name and Position | Rogelio Riojas (CEO) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc Seattle Adolescent Behavioral Health Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc Seattle Adolescent Behavioral Health 9635 Des Moines Memorial Dr Ste 210 Seattle WA 98108-5061 Ph: (206) 658-2175 |
| NPI Number | 1538795844 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538795844 | NPI | - | NPPES |
| 2150842 | Medicaid | WA |
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