Community House On Broadway
NPI #1467855353 in Longview, Washington
Provider Information
- NPI Number
- 1467855353
- Entity Type
- Organization
- Organization Name
- Community House On Broadway
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 6, 2014
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 748 14TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2315
- Phone
- (360) 200-5419
Authorized Official
- Name
- MR. CAMERON CARSON
- Title
- CLINIC MANAGER
- Phone
- (360) 200-5419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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