Individual provider · Type 1 NPI
Amanda Wager, MSW, MHP
Mental Illness Community Based Residential Treatment Facility · Seattle, WA
NPI number
1891242913
Active
Practice location
204 NE 94th Street
Seattle, WA 98115-2727
Mailing address
15622 36th Ave NE
Lake Forest Park, WA 98155-6616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
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 1891242913
Amanda Wager, MSW, MHP's National Provider Identifier is 1891242913, issued on Sep 7, 2016. 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 Sep 7, 2016.