Nooksack Central Management System
NPI #1578778189 in Everson, Washington
Provider Information
- NPI Number
- 1578778189
- Entity Type
- Organization
- Organization Name
- Nooksack Central Management System
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NOOKSACK CENTRAL MANAGMENT SYSTEM
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 14, 2007
- Last Updated
- Oct 3, 2011
Practice Location
- Address
- 6760 MISSION RD
- City
- Everson
- State
- Washington
- ZIP Code
- 98247-9749
- Phone
- (360) 966-4150
Authorized Official
- Name
- ERIC R DAVENPORT
- Title
- GOVERNMENTAL SERVICE EXECUTIVE
- Phone
- (360) 592-5176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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