Basic Information
| Provider Information | |||||||||
| NPI: | 1316244999 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ASIAN COUNSELING & REFERRAL SERVICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3639 MARTIN LUTHER KING JR WAY S | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981446847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066957600 | ||||||||
| FaxNumber: | 2066957606 | ||||||||
| Practice Location | |||||||||
| Address1: | 3639 MARTIN LUTHER KING JR WAY S | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981446847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066957600 | ||||||||
| FaxNumber: | 2066957606 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2011 | ||||||||
| LastUpdateDate: | 02/17/2011 | ||||||||
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| AuthorizedOfficialLastName: | SUN | ||||||||
| AuthorizedOfficialFirstName: | VIVIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | BEHAVIORAL HEALTH PROGRAM SPECIALIS | ||||||||
| AuthorizedOfficialTelephone: | 2066957560 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 302R00000X | LW60050161 | WA | Y | Managed Care Organizations | Health Maintenance Organization |
No ID Information.