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Organization
THE TRAUMA FOUNDATION
Active
Organization
THE TRAUMA FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RUTGERS (EXECUTIVE DIRECTOR)
(760) 492-6444
Entity
Organization
Contact information
Practice address
16150 AGATE PASS RD NE, BAINBRIDGE ISLAND, WA 98110-1035
(760) 492-6444
Mailing address
16150 AGATE PASS RD NE, BAINBRIDGE ISLAND, WA 98110-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
09/16/2022
Last updated
09/17/2022
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