Great Rivers Behavioral Health Organization
NPI #1285155366 in Chehalis, Washington
Provider Information
- NPI Number
- 1285155366
- Entity Type
- Organization
- Organization Name
- Great Rivers Behavioral Health Organization
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATI
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 29, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 57 W MAIN STREET
- Address 2
- SUITE 260
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532
- Phone
- (360) 795-5955
Authorized Official
- Name
- MR. MARC EDMUND BOLLINGER, LICSW
- Title
- ADMINISTRATOR
- Phone
- (360) 795-5955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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