Organization
PANZA
Active
Organization
PANZA
Active
Other names
Quixote Communities
Organization subpart
No
Provider details
NPI number
Authorized official
JAYCIE OSTERBERG (EXECUTIVE DIRECTOR)
(360) 338-0451
Entity
Organization
Contact information
Practice address
3350 MOTTMAN RD SW, TUMWATER, WA 98512-8244
(360) 338-0451
Mailing address
3350 MOTTMAN RD SW, TUMWATER, WA 98512-8244
(360) 338-0451
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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