Organization
LDS FAMILY SERVICES
Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services wA Seattle Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
BRIAN S POELMAN (CBO MGR)
(855) 537-1000
Entity
Organization
Contact information
Practice address
1201 MONSTER RD SW, RENTON, WA 98057-2996
(855) 537-1000
(425) 226-2531
Mailing address
125 N STATE ST, SALT LAKE CITY, UT 84150-0602
(855) 537-1000
(801) 240-3150
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
87-0489353
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
07/30/2015
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