Provider Demographics
NPI: | 1730302811 |
---|---|
Name: | ON GOOD HANDS AFH LLC |
Entity Type: | Organization |
Organization Name: | ON GOOD HANDS AFH LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CORNEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TURCU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 425-747-4808 |
Mailing Address - Street 1: | 508 172ND PL NE |
Mailing Address - Street 2: | |
Mailing Address - City: | BELLEVUE |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98008-4127 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 425-747-4808 |
Mailing Address - Fax: | 425-256-2562 |
Practice Address - Street 1: | 508 172ND PL NE |
Practice Address - Street 2: | |
Practice Address - City: | BELLEVUE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98008-4127 |
Practice Address - Country: | US |
Practice Address - Phone: | 425-747-4808 |
Practice Address - Fax: | 425-256-2562 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-10 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | 712000 | 320800000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |