Provider Demographics
NPI:1992998355
Name:FOUNDATION FOR MULTICULTURAL SOLUTIONS/ EL CAMINO PROGRAM
Entity type:Organization
Organization Name:FOUNDATION FOR MULTICULTURAL SOLUTIONS/ EL CAMINO PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:253-572-3214
Mailing Address - Street 1:2316 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2819
Mailing Address - Country:US
Mailing Address - Phone:253-572-3214
Mailing Address - Fax:253-572-5880
Practice Address - Street 1:2316 S STATE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2819
Practice Address - Country:US
Practice Address - Phone:253-572-3214
Practice Address - Fax:253-572-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27101700251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health