Provider Demographics
NPI:1164992202
Name:NEIGHBORHOOD HOUSE
Entity Type:Organization
Organization Name:NEIGHBORHOOD HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:OKAZAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-461-8430
Mailing Address - Street 1:1225 S WELLER ST STE 510
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-1906
Mailing Address - Country:US
Mailing Address - Phone:206-461-8430
Mailing Address - Fax:
Practice Address - Street 1:14900 INTERURBAN AVE S STE 203
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4654
Practice Address - Country:US
Practice Address - Phone:206-923-6702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-02
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management