institution
Port Gamble S'klallam Social Services
Adolescent and Children Mental Health Clinic/Center in Kingston, Washington
NPI 1649391871

Port Gamble S'klallam Social Services is an Adolescent and Children Mental Health Clinic/Center based in Kingston, WA and is specialized in Adolescent and Children Mental Health. Port Gamble S'klallam Social Services practices in Kingston, WA. The NPI Number for Port Gamble S'klallam Social Services is 1649391871 and holds a License No. (Washington).

The current practice location address for Port Gamble S'klallam Social Services 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
institution
Provider Profile Details
NPI Number
1649391871
Provider Name
Port Gamble S'klallam Social Services
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
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1981125 05 WA
institution
Provider Business Practice Location Address Details
Address
32014 Little Boston Rd Ne
City
State
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
State
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
Adolescent and Children Mental Health
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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