Organization
TAKE AIM INDEPENDENT LIVING SOLUTIONS, LLC
Active
Organization
TAKE AIM INDEPENDENT LIVING SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE ANN OWEN MSW (DIRECTOR)
(350) 305-2251
Entity
Organization
Contact information
Practice address
5508 POPLAR PL, FERNDALE, WA 98248-8904
(360) 305-2251
Mailing address
5508 POPLAR PL, FERNDALE, WA 98248-8904
(360) 305-2251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SC60593114
WA
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
Update your record
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