NPI | 1225530520 |
---|---|
Other Name | SEA MAR MT VERNON BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JOLEE ANN ELIZABETH SANKEY Credentialing Supervisor 206-474-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2018-03-02 |