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NPI Code Detail

MEDICARE: ASSOCIATED BEHAVIORAL HEALTH CARE INC

MEDICARE: ASSOCIATED BEHAVIORAL HEALTH CARE INC
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
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor045600WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1=========OTHERWATAX IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1477610368
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATED BEHAVIORAL HEALTH CARE INC
Provider Business Mailing Address
First Line : 1800 112TH AVE NE
Second Line : SUITE 150
City : BELLEVUE
State : WA
Zip : 98004-2993
Country : US
Telephone Number : 425-646-7279
Fax Number : 425-646-7499
Provider Business Practice Location Address
First Line : 4711 44TH AVE SE
Second Line : SUITE A
City : SEATTLE
State : WA
Zip : 98116-4591
Country : US
Telephone Number : 206-935-1282
Fax Number : 425-671-6496
Authorized Official
Title or Position : CEO
Name : ALEXANDER BARD
Credential : CDP
Telephone Number : 425-646-7279
Provider Enumeration Date : 01/02/2007
Last Update Date : 06/24/2020

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