| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 747 Broadway, Seattle, Washington |
| Authorized Official Name and Position | Billie Jean Mounts (CHIEF REIMBURSEMENT OFFICER) |
| Authorized Official Contact | 4256873910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 26188 Salt Lake City UT 84126-0188 Ph: (206) 320-2230 | 747 Broadway Seattle WA 98122-4379 Ph: (206) 386-6000 |
| NPI Number | 1336699388 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336699388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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