Organization
COMMUNITY PSYCHIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELCEY SYMONS (ADMIN SERVICES MANAGER)
(206) 545-2387
Entity
Organization
Contact information
Practice address
11000 LAKE CITY WAY NE STE 200, SEATTLE, WA 98125-6748
(206) 747-7191
Mailing address
11000 LAKE CITY WAY NE STE 200, SEATTLE, WA 98125-6748
(206) 747-7191
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014968
—
WA
Enumeration date
07/19/2017
Last updated
07/21/2022
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