Organization
OLYMPIC PERSONAL GROWTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C MARTIN (ADMINISTRATOR)
(360) 681-8463
Entity
Organization
Contact information
Practice address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
(360) 681-8465
Mailing address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
(360) 681-8465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0508600
WA
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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