Organization
INSIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLI JAI MCCABE (OWNER/ADMINISTRATOR)
(425) 252-1779
Entity
Organization
Contact information
Practice address
1316 WALL ST STE 2B, EVERETT, WA 98201-3942
(425) 252-1779
(425) 252-8156
Mailing address
1316 WALL ST STE 2B, EVERETT, WA 98201-3942
(425) 252-1779
(425) 252-8156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
31075100
WA
Other
Enumeration date
10/11/2009
Last updated
08/09/2012
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