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PACIFIC ISLAMIC COMMUNITY AND CULTURAL SERVICES NPI 1467905695


NPI Information

NPI: 1467905695
Provider Name: PACIFIC ISLAMIC COMMUNITY AND CULTURAL SERVICES

Doing Business As: PICACS CLINIC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
10634 E RIVERSIDE DR
SUITE 300
BOTHELL, WA
ZIP 98011
Phone: (425) 412-6318
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PACIFIC ISLAMIC COMMUNITY AND CULTURAL SERVICES is a community behavioral health in Bothell, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PACIFIC ISLAMIC COMMUNITY AND CULTURAL SERVICES NPI is 1467905695. The provider is registered as an organization entity type.
The provider Is Doing Business As Picacs Clinic.

The provider's business location address is:

10634 E RIVERSIDE DR
SUITE 300
BOTHELL, WA
ZIP 98011-757
Phone: (425) 412-6318

The provider's authorized official is Syed Jamal Mustafa .
The authorized official title is Medical Director and has the following contact phone number (425) 806-5021.

The enumeration date for this NPI number is 7/23/2016 and was last updated on 7/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health200385WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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