Provider Demographics
NPI:1093111205
Name:FAMILY THERAPY & RECOVERY P.S.
Entity Type:Organization
Organization Name:FAMILY THERAPY & RECOVERY P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNZIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-208-6393
Mailing Address - Street 1:PO BOX 8610
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98419-0610
Mailing Address - Country:US
Mailing Address - Phone:253-202-9452
Mailing Address - Fax:253-270-2236
Practice Address - Street 1:615 N 2ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2232
Practice Address - Country:US
Practice Address - Phone:253-220-9452
Practice Address - Fax:253-270-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-16
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)