Organization
PUGET MENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KOPEC DNP (PSYCHIATRIC NURSE PRACTITIONER)
(253) 304-8039
Entity
Organization
Contact information
Practice address
4009 BRIDGEPORT WAY W # 1A, UNIVERSITY PLACE, WA 98466-4326
(253) 503-6761
Mailing address
4009 BRIDGEPORT WAY W # 1A, UNIVERSITY PLACE, WA 98466-4326
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
AP60411730
WA
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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