Organization
COMMUNITY PSYCHIATRIC CLINIC INC
Active
Organization
COMMUNITY PSYCHIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRSTEN ANN STASZAK BA, MHP (INTAKE SPECIALIST)
(206) 366-3039
Entity
Organization
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 461-3614
Mailing address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 461-3614
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CG60147073
WA
Other
Enumeration date
02/02/2017
Last updated
09/28/2018
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