| South Sound Behavior Therapy Corp | |
|
3443 Lilly Rd Ne Olympia WA 98506-3091 | |
| (360) 456-2237 | |
| (360) 456-2231 |
| Full Name | South Sound Behavior Therapy Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3443 Lilly Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Jennica Kristine Warner (OWNER) |
| Authorized Official Contact | 3604562237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Behavior Therapy Corp 3443 Lilly Rd Ne Olympia WA 98506-3091 Ph: (360) 456-2237 | South Sound Behavior Therapy Corp 3443 Lilly Rd Ne Olympia WA 98506-3091 Ph: (360) 456-2237 |
| NPI Number | 1306184593 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306184593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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