Basics Northwest
NPI #1396179545 in Lacey, Washington
Provider Information
- NPI Number
- 1396179545
- Entity Type
- Organization
- Organization Name
- Basics Northwest
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 23, 2013
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 8282 28TH CT NE
- Address 2
- SUITE A
- City
- Lacey
- State
- Washington
- ZIP Code
- 98516-7162
- Phone
- (360) 915-6868
Authorized Official
- Name
- MATTHEW J WOODARD, MED BCBA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (360) 915-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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