| Side Street Centre | |
|
445 Sw 152nd St Burien WA 98166-2208 | |
| (206) 242-4084 | |
| (206) 242-4084 |
| Full Name | Side Street Centre |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 445 Sw 152nd St, Burien, Washington |
| Authorized Official Name and Position | Amanda Jill Christenson (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 2062424084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Side Street Centre 445 Sw 152nd St Burien WA 98166-2208 Ph: (206) 242-4084 | Side Street Centre 445 Sw 152nd St Burien WA 98166-2208 Ph: (206) 242-4084 |
| NPI Number | 1780922625 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780922625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 603222181 (Washington) | Primary |
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