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Lake Aspen Professional Group Ps
Adult Mental Health Clinic/Center in Yakima, Washington
NPI 1477822377

Lake Aspen Professional Group Ps is an Adult Mental Health Clinic/Center based in Yakima, WA and is specialized in Adult Mental Health. Lake Aspen Professional Group Ps practices in Yakima, WA. The NPI Number for Lake Aspen Professional Group Ps is 1477822377 and holds a License No. MD00014780 (Washington).

The current practice location address for Lake Aspen Professional Group Ps is 1460 N 16Th Ave, Yakima, WA and can be reached out via phone at 509-575-7750 and via fax at 509-575-7796.

Location: 1460 N 16Th Ave, Yakima, WA, 98902-7102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477822377
Provider Name
Lake Aspen Professional Group Ps
Credential
Provider Entity Type
Organization
Address
1460 N 16Th Ave, Yakima, WA, 98902-7102
Phone Number
509-575-7750
Fax Number
509-575-7796
Provider Enumeration Date
12/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7237209 05 WA
institution
Provider Business Practice Location Address Details
Address
1460 N 16Th Ave
City
Yakima
State
Washington
Zip
98902-7102
Phone Number
509-575-7750
Fax Number
509-575-7796
person
Provider Business Mailing Address Details
Address
1460 N 16Th Ave
City
Yakima
State
Washington
Zip
98902-7102
Phone Number
509-575-7750
Fax Number
509-575-7796
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
MD00014780 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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