Organization Name: | TULALIP TRIBES FAMILY SERVICES - MENTAL HEALTH |
NPI Number: | 1013138924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MISTY NAPEAHI (DEPUTY GENERAL MGR) |
Mailing Address: | 2821 Mission Hill Rd Tulalip |
State: | WA US |
Postal Code: | 982719706 |
Phone Number: | 3606514400 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 04/10/2014 |
NPI Reactivation Date: | 05/09/2014 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |