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Ambulatory Health Care Facilities Clinic/Center Adult Mental Health

Provider NPI: 1285869958

Organization Information:
Organization is not Subpart
Authorized Official:  VANRAJ  VARU  PRESIDENT  253-514-8076

Practice Location:
7191 WAGNER WAY NW SUITE # 301 GIG HARBOR, WA 98335-6909 US
Tel: 253-514-8076  Fax: 253-514-8078

Business Mailing Address:
7191 WAGNER WAY NW SUITE # 301 GIG HARBOR, WA 98335-6909 US
Tel: 253-514-8076  Fax: 253-514-8078

NPI Information:
NPI: 1285869958
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM0850XAmbulatory Health Care Facilities
Adult Mental Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QM0850X





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