Organization
COGNITIVE GROWTH MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CECIL GROETKEN PMHNP-BC (OWNER)
(206) 701-1962
Entity
Organization
Contact information
Practice address
6314 19TH ST W STE 7, FIRCREST, WA 98466-6223
(206) 701-1962
(866) 434-6268
Mailing address
3800 BRIDGEPORT WAY W STE A, #302, UNIVERSITY PLACE, WA 98466-4495
(206) 701-1962
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
11/24/2022
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