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1073391041
DIVERSE BEHAVIORAL HEALTH CLINIC LLC
OLYMPIA, WA
NPI
1073391041
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Entity Type
Organization
Authorized Contact
DARA BERNAL
Owner
360-533-3216
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
DIVERSE BEHAVIORAL HEALTH CLINIC LLC
3516 7TH AVE SW STE A
OLYMPIA, WA 98502-5011
Phone number: 360-533-3216
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Mailing Address
DIVERSE BEHAVIORAL HEALTH CLINIC LLC
PO BOX 5482
LACEY, WA 98509-5482
Phone number: 360-533-3216
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