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Organization
NAVOS
Active
Organization
NAVOS
Active
Other names
Highline West Seattle Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARVIN JOHNSON ED.D. (CEO)
(206) 933-7225
Entity
Organization
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7214
(206) 933-7005
Mailing address
PO BOX 46420, SEATTLE, WA 98146-0420
(206) 933-7214
(206) 933-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
048
WA
251B00000X
Case Management Agency
—
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
WA
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
05/23/2005
Last updated
02/24/2020
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