Organization
CONNECTIONSWA, LLC
Active
Other names
Kirkland CRC
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE TALAS DENNY (PROVIDER NETWORK MANAGEMENT ASSOC)
(602) 416-7647
Entity
Organization
Contact information
Practice address
11410 NE 122ND WAY BLDG A1, KIRKLAND, WA 98034-6945
(602) 416-7600
Mailing address
2390 E CAMELBACK RD STE 400, PHOENIX, AZ 85016-3479
(623) 273-6154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
04/12/2023
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