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NPI Code Detail

MEDICARE: WA ASIAN/PACIFIC ISLANDER FAMILIES AGAINST SUBSTANCE ABUSE

MEDICARE: WA ASIAN/PACIFIC ISLANDER FAMILIES AGAINST SUBSTANCE ABUSE
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 Agency17078300WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1601437903OTHERWAUBI

General Provider Information

NPI Number : 1104163872
Entity Type Code : Organization
Provider Name (Legal Business Name) : WA ASIAN/PACIFIC ISLANDER FAMILIES AGAINST SUBSTANCE ABUSE
Provider Business Mailing Address
First Line : 3722 S HUDSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1920
Country : US
Telephone Number : 206-223-9578
Fax Number : 206-838-1851
Provider Business Practice Location Address
First Line : 3722 S HUDSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1920
Country : US
Telephone Number : 206-223-9578
Fax Number : 206-838-1851
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. GREGORY B GARCIA
Credential : MS
Telephone Number : 206-223-9578
Provider Enumeration Date : 01/14/2013
Last Update Date : 01/14/2013

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