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Organization
AMFM HEALTHCARE WASHINGTON
Active
Organization
AMFM HEALTHCARE WASHINGTON
Active
Other names
Mission Connection Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FARBMAN (DIRECTOR OF BILLING)
(949) 301-2863
Entity
Organization
Contact information
Practice address
6990 E GREEN LAKE WAY N, SUITE G, SEATTLE, WA 98115
(833) 589-5150
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578314
THE JOINT COMMISSION
WA
01
—
BHA.FS.61272048
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/10/2021
Last updated
06/25/2025
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