Encopresis Treatment Center
NPI #1306111562 in Edmonds, Washington
Provider Information
- NPI Number
- 1306111562
- Entity Type
- Organization
- Organization Name
- Encopresis Treatment Center
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 20, 2012
- Last Updated
- May 10, 2021
Practice Location
- Address
- 611 MAIN ST
- Address 2
- SUITE A
- City
- Edmonds
- State
- Washington
- ZIP Code
- 98020-3096
- Phone
- (425) 640-3227
Authorized Official
- Name
- WINIFRED K WATERBURY
- Title
- OFFICE MANAGER
- Phone
- (206) 629-4699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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