# POPE'S KIDS PLACE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vivian's House Young Adult Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093378358
- **Authorized official:** SHIRLEY BILLINGS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (360) 736-9178

## Contact information

- **Practice address:** 230 WASHINGTON WAY BLDG B, CENTRALIA, WA 98531-9225
- **Practice address phone:** (360) 736-9178
- **Practice address fax:** (360) 736-8312
- **Mailing address:** 230 WASHINGTON WAY, CENTRALIA, WA 98531-9225
- **Mailing address phone:** (360) 736-9178
- **Mailing address fax:** (360) 736-8312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2019
- **Last updated:** 04/22/2019
