NPI | 1396510970 |
---|---|
Former Legal Business Name | EMERALD CITY HEALTH |
Entity Type | Organization |
Authorized Contact | CLAUDIA JOHNSON Owner/Administrator 253-301-3865 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2023-11-23 |
Last Update Date | 2024-07-30 |