Organization
DIAGNOSTIC & TREATMENT CENTER, LLC
Active
Parent organization
DIAGNOSTIC & TREATMENT CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC & TREATMENT CENTER, LLC
Authorized official
CYNTHIA WALTMAN PH.D. (PRESIDENT)
(360) 825-9205
Entity
Organization
Contact information
Practice address
1818 COLE ST, ENUMCLAW, WA 98022-3504
(360) 825-9205
Mailing address
1818 COLE ST, ENUMCLAW, WA 98022-3504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY00002405
WA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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