Community House On Broadway
NPI #1013575588 in Longview, Washington
Provider Information
- NPI Number
- 1013575588
- Entity Type
- Organization
- Organization Name
- Community House On Broadway
- Primary Specialty
- Case Management
- Enumeration Date
- May 30, 2019
- Last Updated
- May 30, 2019
Practice Location
- Address
- 1107 BROADWAY ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3830
- Phone
- (360) 200-5419
Authorized Official
- Name
- FRANK MORRISON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (360) 200-5419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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