Chehalis Tsapowum Mental Health
NPI #1043636442 in Oakville, Washington
Provider Information
- NPI Number
- 1043636442
- Entity Type
- Organization
- Organization Name
- Chehalis Tsapowum Mental Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHEHALIS TSAPOWUM BEHAVIORAL HEALTH
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 10, 2014
- Last Updated
- Mar 10, 2014
Practice Location
- Address
- 420 HOWANUT RD
- City
- Oakville
- State
- Washington
- ZIP Code
- 98568-9659
- Phone
- (360) 709-1628
Authorized Official
- Name
- GARY GOODWIN
- Title
- SYSTEM ADMINISTRATOR
- Phone
- (360) 867-0709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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