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Organization

EMERALD CITY ESF II LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BORAY THACH DNP, PMHNP-BC (ADMINISTRATOR)
(253) 230-6912
Entity
Organization

Contact information

Practice address
3711 PACIFIC AVE, TACOMA, WA 98418-7827
(253) 230-6912
Mailing address
3711 PACIFIC AVE, TACOMA, WA 98418-7827
(253) 230-6912

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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