# FAIRFAX HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588702526
- **Authorized official:** JOANNE MARIE DELLA PENTA ART-BC, LMHC (ART THERAPIST)
- **Authorized official phone:** (425) 821-2000

## Contact information

- **Practice address:** 1711 12TH AVE, SEATTLE, WA 98122-2435
- **Practice address phone:** (206) 375-5872
- **Mailing address:** 1729 12TH AVE APT 110, SEATTLE, WA 98122-2492
- **Mailing address phone:** (206) 783-6850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 221700000X | Art Therapist | 05-019 | NC | Yes |
| 273R00000X | Psychiatric Hospital Unit | RC00053238 | WA | — |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 09/11/2025