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Organization

PINNACLE PEAK INSTITUTE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONNIE L THOMPSON PH.D (CEO)
(360) 628-1256
Entity
Organization

Contact information

Practice address
1880 BARNES BLVD SW STE B-1, TUMWATER, WA 98512-1435
(360) 704-0086
Mailing address
1880 BARNES BLVD SW STE B-1, TUMWATER, WA 98512-1435
(360) 704-0086

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
LH60174986
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LH60174986
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
34 1527 00
WA

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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