Provider Demographics
NPI:1679020150
Name:VEST SEATTLE, LLC
Entity Type:Organization
Organization Name:VEST SEATTLE, LLC
Other - Org Name:SMOKEY POINT BEHAVIORAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KRESCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-243-5565
Mailing Address - Street 1:3955 156TH STREET NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-4831
Mailing Address - Country:US
Mailing Address - Phone:360-651-6400
Mailing Address - Fax:360-651-5981
Practice Address - Street 1:3955 156TH STREET NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-4831
Practice Address - Country:US
Practice Address - Phone:360-651-6400
Practice Address - Fax:360-651-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital