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NPI Code Detail

MEDICARE: NEW FAMILY TRADITIONS

MEDICARE: NEW FAMILY TRADITIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency17141600WA

General Provider Information

NPI Number : 1194975789
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW FAMILY TRADITIONS
Provider Business Mailing Address
First Line : 9045 16TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2355
Country : US
Telephone Number : 206-762-7207
Fax Number : 206-762-7980
Provider Business Practice Location Address
First Line : 9045 16TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2355
Country : US
Telephone Number : 206-762-7207
Fax Number : 206-762-7980
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JILL GRESHAM
Credential : MA, CDP
Telephone Number : 206-762-7207
Provider Enumeration Date : 09/19/2008
Last Update Date : 09/19/2008

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Directions to “NEW FAMILY TRADITIONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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