Organization
EMERALD CITY BEHAVIORAL HEALTH
Active
Other names
Emerald City Health
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA JOHNSON MANAGING MEMBER (OWNER/ADMINISTRATOR)
(253) 301-3865
Entity
Organization
Contact information
Practice address
3713 PACIFIC AVE, TACOMA, WA 98418-7839
(253) 433-7993
Mailing address
3713 PACIFIC AVE, TACOMA, WA 98418-7839
(253) 433-7993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284497
—
WA
01
—
BHA.FS.61514742
WA DOH
WA
Enumeration date
11/23/2023
Last updated
07/30/2024
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