Eastside Social Skills Therapy
Community/Behavioral Health in Issaquah, WA. Organization (NPI-2).
NPI number1770020331
StatusActive
Last updated in NPPESJan 20, 2017
Details
- NPI
- 1770020331
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastside Social Skills Therapy
- Organization subpart
- No
- Enumeration date
- Jan 20, 2017
- Last updated
- Jan 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5431 236th Pl SeIssaquah, WA 98029-6844
Phone 509-366-5572
Mailing address
5431 236th Pl SeIssaquah, WA 98029-6844
Authorized official
Penny J Lathum
Owner/Director
2063803009
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