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CRESCENT PSYCHIATRY

Ambulatory Health Care Facilities Clinic/Center Adult Mental Health

Provider NPI: 1285869958

Organization Information:
Organization Name:  CRESCENT PSYCHIATRY
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

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM0850XAmbulatory Health Care Facilities
Clinic/Center
Adult Mental Health
WAMD30816

Other Provider Identifiers:

IssuerNumberStateType
F40178WA02



American Medical Association 2012 taxonomy code information

Code: 261QM0850X

Type:

Classification:



Definition:



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