Basic Information
| Provider Information | |||||||||
| NPI: | 1932459237 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NAVOS MENTAL HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2600 SW HOLDEN STREET | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069337000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1010 S. 146TH STREET | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98168 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2064392666 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2012 | ||||||||
| LastUpdateDate: | 09/13/2012 | ||||||||
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| AuthorizedOfficialLastName: | MITCHELL | ||||||||
| AuthorizedOfficialFirstName: | JUDI | ||||||||
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| AuthorizedOfficialTitleorPosition: | HUMAN RESOURCE | ||||||||
| AuthorizedOfficialTelephone: | 2069337014 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | SC60243146 | WA | Y | Agencies | Case Management |
No ID Information.