An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Mental Health |
261QM0850X | |||
Adolescent and Children Mental Health |
261QM0855X |
| NPI # | 1255378782 |
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| LBN Legal business name | PUYALLUP TRIBAL HEALTH AUTHORITY | ||||||||
| Authorized official | CHRIS HENRY - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/01/2006 | ||||||||
| Last updated | 07/13/2018 - About 8 years ago | ||||||||
| Identifiers |
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