Organization
AMFM HEALTHCARE WASHINGTON
Active
Other names
Mission Connection Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FARBMAN (DIRECTOR OF BILLING)
(949) 301-2863
Entity
Organization
Contact information
Practice address
6990 E GREEN LAKE WAY N, SUITE G, SEATTLE, WA 98115
(833) 589-5150
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578314
THE JOINT COMMISSION
WA
01
—
BHA.FS.61272048
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/10/2021
Last updated
06/25/2025
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