Organization
COMMUNITY PSYCHIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNICE ABERO (ADMINISTRATOR)
(206) 545-2317
Entity
Organization
Contact information
Practice address
10501 MERIDIAN AVE N, SUITE D, SEATTLE, WA 98133-9509
(206) 461-4544
Mailing address
10501 MERIDIAN AVE N, SUITE D, SEATTLE, WA 98133-9509
(206) 461-4544
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
AP30008035
WA
282NC0060X
Critical Access Hospital
AP30008035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391880
UNIVERSITY OF WASHINGTON
WA
Enumeration date
07/07/2011
Last updated
09/26/2018
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