Full Name | |
---|---|
Speciality | Psychiatric Unit |
Location | 1717 S J St, Tacoma, Washington |
Authorized Official Name and Position | Mike Fitzgerald (VP, FINANCIAL OPS) |
Authorized Official Contact | 2535524105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1717 S J St Tacoma WA 98405-4933 Ph: (253) 426-6691 | 1717 S J St Tacoma WA 98405-4933 Ph: (253) 426-6691 |
NPI Number | 1497978100 |
---|---|
Provider Enumeration Date | 04/11/2007 |
Last Update Date | 03/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497978100 | NPI | - | NPPES |
8910986 | Other | WA | STATE CRIME VICTIMS |
078200 | Other | WA | STATE L&I |
7023369 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | MD00021407 (Washington) | Primary |
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