Department of Social and Health Services

NPI #1043933617 in Centralia, Washington

Provider Information

NPI Number
1043933617
Entity Type
Organization
Organization Name
Department of Social and Health Services
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Sep 20, 2022
Last Updated
Sep 20, 2022

Practice Location

Address
20413 OLD HWY 9 SW
ZIP Code
98531
Phone
(360) 999-7678

Authorized Official

Name
MELISSA TENGOWSKI
Title
QAIM
Phone
(360) 999-3851

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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