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Organization
EBTSL PSYCHIATRY, PLLC
Active
Organization
EBTSL PSYCHIATRY, PLLC
Active
Parent organization
EVIDENCE BASED TREATMENT CENTERS OF SEATTLE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVIDENCE BASED TREATMENT CENTERS OF SEATTLE, PLLC
Authorized official
ADRIENNE C BENNETT BS (CLINIC COORDINATOR)
(425) 361-9272
Entity
Organization
Contact information
Practice address
2225 E MURRAY HOLLADAY RD STE 116, HOLLADAY, UT 84117-5382
(877) 919-4521
Mailing address
2225 E MURRAY HOLLADAY RD STE 116, HOLLADAY, UT 84117-5382
(877) 919-4521
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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