Canyon Park Treatment Solutions

NPI 1053328187 - Clinic/Center - 261QM2800X

NPI Details
NPI 1053328187
Enumeration Date 08/02/2006
Last Updated 11/19/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID BENJAMIN DAVID
Position CLINIC DIRECTOR
Phone (425) 672-7293
Fax
Practice Location
22026 20TH AVE SE
SUITE 101
BOTHELL WA, 98021-4449, US
Phone (425) 672-7293
Fax
Business Location
22026 20TH AVE SE
SUITE 101
BOTHELL WA, 98021-4449, US
Phone (425) 672-7293
Fax
Toxanomy
Taxonomy Code 261QM2800X
License State Washington
License Number 31112100
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According to our database, Canyon Park Treatment Solutions NPI is 1053328187, taxonomy code is 261QM2800X and license number is 31112100, license state is located at Washington. Canyon Park Treatment Solutions physically located at 22026 20th Ave Se, Bothell WA, 98021-4449. NPI Number 1033115704 has the healthcare provider type.

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1053328187 NPI number is provided on an as is basis without warranty of any kind. 1053328187 is maintained by the National Plan & Provider Enumeration System. The contents of Canyon Park Treatment Solutions are for informational purposes only.