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Organization
THERAPEUTIC HEALTH SERVICES
Active
Organization
THERAPEUTIC HEALTH SERVICES
Active
Other names
Summit Branch
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN POTTER (BILLING MANAGER)
(206) 323-0930
Entity
Organization
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 726-4100
(206) 328-3757
Mailing address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
(206) 721-3930
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990001
—
WA
Enumeration date
09/29/2006
Last updated
05/09/2024
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