Provider Demographics
NPI:1972113165
Name:HANMIN CORPORATION
Entity Type:Organization
Organization Name:HANMIN CORPORATION
Other - Org Name:SOMERSET BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:SE WON
Authorized Official - Middle Name:
Authorized Official - Last Name:MIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-681-6653
Mailing Address - Street 1:4060 138TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1431
Mailing Address - Country:US
Mailing Address - Phone:425-636-0304
Mailing Address - Fax:
Practice Address - Street 1:4060 138TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1431
Practice Address - Country:US
Practice Address - Phone:425-636-0304
Practice Address - Fax:425-324-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)