Healthcare Provider Details

I. General information

NPI: 1164633178
Provider Name (Legal Business Name): RYTHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 NE 95TH ST
SEATTLE WA
98115-2426
US

IV. Provider business mailing address

2400 NE 95TH ST
SEATTLE WA
98115-2426
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-5050
  • Fax: 206-525-9795
Mailing address:
  • Phone: 206-525-5050
  • Fax: 206-525-9795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateWA

VIII. Authorized Official

Name: KAREN BRADY
Title or Position: CEO
Credential: MSW, MBA
Phone: 206-525-5050