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Organization

SNOHOMISH COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEN STARK (HUMAN SERVICES DIRECTOR)
(425) 388-7204
Entity
Organization

Contact information

Practice address
3000 ROCKEFELLER AVE # MS 305, EVERETT, WA 98201-4046
(425) 388-7211
(425) 388-7216
Mailing address
3000 ROCKEFELLER AVE # MS 305, EVERETT, WA 98201-4046
(425) 388-7211
(425) 388-7216

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170
WA

Other

Enumeration date
07/16/2009
Last updated
07/16/2009
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