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Miss Terran Imani Poindexter
Mental Illness Community Based Residential Treatment Facility in Seattle, Washington
NPI 1699150771

Terran Imani Poindexter is a Mental Illness Community Based Residential Treatment Facility based in Hesperia, WA. Terran Imani Poindexter practices in Seattle, WA. The NPI Number for Terran Imani Poindexter is 1699150771 and holds a License No. E1873356 (Washington).

The current practice location address for Terran Imani Poindexter is 2600 Sw Holden St, Seattle, WA and can be reached out via phone at 206-933-7000 and via fax at 206-933-7101.

Location: 2600 Sw Holden St, Seattle, WA, 92345-3773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699150771
Provider Name
Terran Imani Poindexter
Credential
Provider Entity Type
Individual
Gender
Female
Address
2600 Sw Holden St, Seattle, WA, 92345-3773
Phone Number
206-933-7000
Fax Number
206-933-7101
Provider Enumeration Date
07/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 Sw Holden St
City
Seattle
State
Washington
Zip
98126-3505
Phone Number
206-933-7000
Fax Number
206-933-7101
person
Provider Business Mailing Address Details
Address
2600 Sw Holden St
City
Seattle
State
Washington
Zip
98126-3505
Phone Number
206-933-7000
Fax Number
206-933-7101
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
E1873356 (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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