Organization
K-NATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY CRUMBLE MHA (COO)
(618) 691-8352
Entity
Organization
Contact information
Practice address
2367 TACOMA AVE S # 1016, TACOMA, WA 98402-1409
(618) 691-8352
Mailing address
2367 TACOMA AVE S # 1016, TACOMA, WA 98402-1409
(618) 692-8352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/31/2023
Last updated
08/30/2023
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