| NPI | 1639320484 |
|---|---|
| Doing Business As | PROV SCRED HRT MED CTR & CHLDS HOS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2025-01-10 |