Tlc Recovery, Llc | |
19940 Ballinger Way Ne B1 Shoreline WA 98155-1203 | |
(206) 363-1992 | |
(206) 362-7475 |
Full Name | Tlc Recovery, Llc |
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Speciality | Community/behavioral Health |
Location | 19940 Ballinger Way Ne, Shoreline, Washington |
Authorized Official Name and Position | Lee Jamison (DIRECTOR) |
Authorized Official Contact | 2063631992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tlc Recovery, Llc Po Box 65124 Shoreline WA 98155-9124 Ph: (206) 363-1992 | Tlc Recovery, Llc 19940 Ballinger Way Ne B1 Shoreline WA 98155-1203 Ph: (206) 363-1992 |
NPI Number | 1992092688 |
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Provider Enumeration Date | 07/01/2011 |
Last Update Date | 07/01/2011 |
Identifier | Type | State | Issuer |
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1992092688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 17-0990-00 (Washington) | Primary |
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