Individual provider · Type 1 NPI

Terran Imani Poindexter

Mental Illness Community Based Residential Treatment Facility · Seattle, WA

NPI number 1699150771 Active

Practice location

2600 SW Holden St
Seattle, WA 98126-3505

Call (206) 933-7000 Map

Fax (206) 933-7101

Mailing address

9145 Pinon Ave
Hesperia, CA 92345-3773

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XE1873356 (CA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1699150771

Terran Imani Poindexter's National Provider Identifier is 1699150771, issued on Jul 30, 2015. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Seattle, WA. The record was last updated on Jul 30, 2015.