| 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 | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |