Organization
PIB-PROCESO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO SANCHEZ MA, MHP, CDP, DVC (DIRECTOR/PARTNER)
(206) 478-1191
Entity
Organization
Contact information
Practice address
1833 N 105TH ST STE 101, SEATTLE, WA 98133-8973
(206) 478-1191
(206) 260-3060
Mailing address
1833 N 105TH ST STE 101, SEATTLE, WA 98133-8973
(206) 478-1191
(206) 260-3060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17156500
WA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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