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
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