Organization · Type 2 NPI
Diverse Behavioral Health Clinic LLC
Psychiatric/Mental Health Nurse Practitioner · Olympia, WA
NPI number
1073391041
Active
Practice location
3516 7th Ave SW Ste A
Olympia, WA 98502-5011
Mailing address
PO Box 5482
Lacey, WA 98509-5482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073391041
Diverse Behavioral Health Clinic LLC's National Provider Identifier is 1073391041, issued on Sep 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Olympia, WA. The record was last updated on Sep 20, 2023.