Great Rivers Behavioral Health Administrative Services Org
NPI #1043861743 in Centralia, Washington
Provider Information
- NPI Number
- 1043861743
- Entity Type
- Organization
- Organization Name
- Great Rivers Behavioral Health Administrative Services Org
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 24, 2019
- Last Updated
- Mar 20, 2025
Practice Location
- Address
- 1723 KRESKY AVE
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531
- Phone
- (800) 215-4460
Authorized Official
- Name
- MR. TRINIDAD I MEDINA
- Title
- CHIEF EXECUTIVE DIRECTOR
- Phone
- (253) 336-3237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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