Organization
PACIFIC ISLAMIC COMMUNITY AND CULTURAL SERVICES
Active
Other names
PICACS Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED JAMAL MUSTAFA MD (MEDICAL DIRECTOR)
(425) 806-5021
Entity
Organization
Contact information
Practice address
10634 E RIVERSIDE DR, SUITE 300, BOTHELL, WA 98011-3757
(425) 412-6318
Mailing address
10634 E RIVERSIDE DR, SUITE 300, BOTHELL, WA 98011-3757
(425) 412-6318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
200385
WA
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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