Organization Name: | MOLLY HENDERSON ARNP INC |
NPI Number: | 1013180173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTHA HENDERSON (CEO) |
Mailing Address: | 1005 Olympia Ave Ne Olympia |
State: | WA US |
Postal Code: | 985064033 |
Phone Number: | 3607915933 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | AP30006528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |