Mindsource Center, LLC
NPI #1477978849 in Covington, Washington
Provider Information
- NPI Number
- 1477978849
- Entity Type
- Organization
- Organization Name
- Mindsource Center, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 21, 2014
- Last Updated
- Feb 21, 2014
Practice Location
- Address
- 27023 164TH AVE SE
- City
- Covington
- State
- Washington
- ZIP Code
- 98042-8241
- Phone
- (253) 639-7146
Authorized Official
- Name
- CAROLINE SHEPPARD
- Title
- DIRECTOR
- Phone
- (253) 350-0661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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