Organization
OLYMPIC PSYCHIATRIC & WELLNESS CENTER
Active
Other names
Olympic Wellness Center CDP
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILYNN NICKLIN GRISWOLD (OWNER)
(360) 782-0114
Entity
Organization
Contact information
Practice address
2528 WHEATON WAY STE 106, BREMERTON, WA 98310-3305
(360) 782-0114
Mailing address
2528 WHEATON WAY STE 106, BREMERTON, WA 98310-3305
(360) 782-0114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7141021
—
WA
01
—
8869745
MEDICARE PTAN
WA
Enumeration date
01/16/2009
Last updated
01/16/2009
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