| Sea Mar Chc Tumwater Child & Family | |
|
6004 Capitol Blvd Se Tumwater WA 98501-8520 | |
| (360) 704-7590 | |
| Not Available |
| Full Name | Sea Mar Chc Tumwater Child & Family |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6004 Capitol Blvd Se, Tumwater, Washington |
| Authorized Official Name and Position | Rogelio Riojas (CEO) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc Tumwater Child & Family Po Box 34703 Seattle WA 98124-1703 Ph: (253) 681-6601 | Sea Mar Chc Tumwater Child & Family 6004 Capitol Blvd Se Tumwater WA 98501-8520 Ph: (360) 704-7590 |
| NPI Number | 1063069839 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063069839 | NPI | - | NPPES |
| 2145315 | Medicaid | WA |
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