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Port Gamble S'klallam Mental Health
Mental Health Clinic/Center (Including Community Mental Health Center) in Kingston, Washington
NPI 1154480051

Port Gamble S'klallam Mental Health is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Kingston, WA and is specialized in Mental Health (Including Community Mental Health Center). Port Gamble S'klallam Mental Health practices in Kingston, WA. The NPI Number for Port Gamble S'klallam Mental Health is 1154480051 and holds a License No. (Washington).

The current practice location address for Port Gamble S'klallam Mental Health is 32014 Little Boston Rd Ne, Kingston, WA and can be reached out via phone at 360-297-9601 and via fax at 360-297-9614.

Location: 32014 Little Boston Rd Ne, Kingston, WA, 98346-9734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154480051
Provider Name
Port Gamble S'klallam Mental Health
Credential
Provider Entity Type
Organization
Address
32014 Little Boston Rd Ne, Kingston, WA, 98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1980929 05 WA
institution
Provider Business Practice Location Address Details
Address
32014 Little Boston Rd Ne
City
Kingston
State
Washington
Zip
98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
person
Provider Business Mailing Address Details
Address
32014 Little Boston Rd Ne
City
Kingston
State
Washington
Zip
98346-9734
Phone Number
360-297-9601
Fax Number
360-297-9614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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