Organization
FAMILY THERAPY AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HUNZIKER MA (PRESIDENT)
(206) 355-0648
Entity
Organization
Contact information
Practice address
15 S GRADY WAY, SUITE 249, RENTON, WA 98057-3220
(206) 355-0648
Mailing address
15 S GRADY WAY, SUITE 249, RENTON, WA 98057-3220
(206) 355-0648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17165700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040455
—
WA
Enumeration date
03/06/2015
Last updated
03/06/2015
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