| Xdhealth Llc | |
|
2367 Tacoma Ave S # 102 Tacoma WA 98402-1409 | |
| (509) 289-2980 | |
| Not Available |
| Full Name | Xdhealth Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2367 Tacoma Ave S # 102, Tacoma, Washington |
| Authorized Official Name and Position | Derrick Kretschmer (DIRECTOR) |
| Authorized Official Contact | 2533984765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xdhealth Llc 3502 S Mason Ave Apt 7e Tacoma WA 98409-8535 Ph: (661) 220-4947 | Xdhealth Llc 2367 Tacoma Ave S # 102 Tacoma WA 98402-1409 Ph: (509) 289-2980 |
| NPI Number | 1679390405 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679390405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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