OrganizationActive
US Army
NPI 1710429279 · Adolescent and Children Mental Health Clinic/Center · Tacoma, WA
Provider details
- NPI number
- 1710429279
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Genkov, Psychiatric Nurse Practitioner(248) 909-7531
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
Madigan Army Medical Ctr
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1110
Approximate (ZIP-level) locationGet directions
Mailing address
800 Roe St
Steilacoom, WA 98388-4006
Registry dates
- Enumerated
- 2016-11-14
- Last updated
- 2016-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.