| Cognitive Growth Mental Health | |
|
6314 19th St W Ste 7 Fircrest WA 98466-6223 | |
| (206) 701-1962 | |
| (866) 434-6268 |
| Full Name | Cognitive Growth Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6314 19th St W Ste 7, Fircrest, Washington |
| Authorized Official Name and Position | Robert Cecil Groetken (OWNER) |
| Authorized Official Contact | 2067011962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Growth Mental Health 3800 Bridgeport Way W Ste A #302 University Place WA 98466-4495 Ph: (206) 701-1962 | Cognitive Growth Mental Health 6314 19th St W Ste 7 Fircrest WA 98466-6223 Ph: (206) 701-1962 |
| NPI Number | 1871243808 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 11/24/2022 |
| Certification Date | 11/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871243808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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