Provider Demographics
NPI:1285865055
Name:ASAP
Entity Type:Organization
Organization Name:ASAP
Other - Org Name:SARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELING PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:253-468-8404
Mailing Address - Street 1:BUILDING 2008B TACOMA WA 98431
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:98431
Mailing Address - Country:US
Mailing Address - Phone:253-966-7250
Mailing Address - Fax:253-967-1411
Practice Address - Street 1:1545 SINCLAIR DR
Practice Address - Street 2:
Practice Address - City:DUPONT
Practice Address - State:WA
Practice Address - Zip Code:98327-0001
Practice Address - Country:US
Practice Address - Phone:253-468-8404
Practice Address - Fax:253-967-1411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health