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Organization
DEVELOP MINDED THERAPIES
Active
Organization
DEVELOP MINDED THERAPIES
Active
Parent organization
DEVELOP MINDED THERAPIES HEALTH HOMES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVELOP MINDED THERAPIES HEALTH HOMES
Authorized official
MR. DATHAN LANE (OWNER)
(253) 750-2664
Entity
Organization
Contact information
Practice address
4040 S TYLER ST STE 9, TACOMA, WA 98409-2143
(253) 750-2664
(253) 215-4426
Mailing address
4040 S TYLER ST STE 9, TACOMA, WA 98409-2143
(253) 750-2664
(253) 215-4426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
04/09/2018
Last updated
08/24/2021
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