Department of Social Dept of Shs Div of Instns
NPI #1467440602 in Medical Lake, Washington
Provider Information
- NPI Number
- 1467440602
- Entity Type
- Organization
- Organization Name
- Department of Social Dept of Shs Div of Instns
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Mar 10, 2022
Practice Location
- Address
- 850 MAPLE ST
- City
- Medical Lake
- State
- Washington
- ZIP Code
- 99022-0800
- Phone
- (509) 565-4000
Authorized Official
- Name
- JESSICA HELENE GRAHAM
- Title
- DIRECTOR, REVENUE CYCLE
- Phone
- (509) 565-4131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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