| NPI | 1750849592 |
|---|---|
| Other Name | FBH NORTHEND |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |