Foundation Mental Health, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Spokane, WA. Organization (NPI-2).
NPI number1669924916
StatusActive
Last updated in NPPESApr 3, 2017
Details
- NPI
- 1669924916
- Entity type
- Organization (NPI-2)
- Legal business name
- Foundation Mental Health, LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2016
- Last updated
- Apr 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | AP60705521 | WA | Yes |
Practice location
203 N Washington StSuite 200
Spokane, WA 99201-0233
Phone 509-473-9300 · Fax 509-473-9231
Mailing address
203 N Washington StSuite 200
Spokane, WA 99201-0233
Phone 509-473-9300
Authorized official
Thomas C Sutherland
Nurse Practitioner/Owner
5094739300
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