Caritas Critical Case Management, LLC
NPI #1659806032 in Issaquah, Washington
Provider Information
- NPI Number
- 1659806032
- Entity Type
- Organization
- Organization Name
- Caritas Critical Case Management, LLC
- Primary Specialty
- Registered Nurse - Case Management
- Enumeration Date
- Apr 24, 2017
- Last Updated
- Apr 24, 2017
Practice Location
- Address
- 23205 SE BLACK NUGGET RD
- Address 2
- APT J2
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98029-7326
- Phone
- (206) 207-9363
Authorized Official
- Name
- EBONY BLACKMOM-HUMPHREY, RN, CCM
- Title
- REGISTERED NURSE
- Phone
- (206) 207-9363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse - Case Management — Case Management |
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