| NPI | 1770643629 |
|---|---|
| Doing Business As | PROVIDENCE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOYCE KOBAYASHI Dir Revenue Cycle Mgmt Nwsa 425-317-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-09-23 |