Organization
COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CHRISTIANSON LMHC (EXECUTIVE DIRECTOR)
(206) 937-4217
Entity
Organization
Contact information
Practice address
5424 DELRIDGE WAY SW UNIT A, SEATTLE, WA 98106-1439
(206) 937-4217
(206) 937-6176
Mailing address
5424 DELRIDGE WAY SW UNIT A, SEATTLE, WA 98106-1439
(206) 937-4217
(206) 937-6176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118454
—
WA
Enumeration date
01/25/2018
Last updated
01/25/2018
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