Organization
BLUE MOUNTAIN HEART TO HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DICKEY MSW (CASE MANAGER)
(509) 529-4744
Entity
Organization
Contact information
Practice address
2330 EASTGATE ST STE 105, WALLA WALLA, WA 99362-1559
(509) 529-4744
Mailing address
PO BOX 40, WALLA WALLA, WA 99362-0201
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7405905
—
WA
Enumeration date
08/14/2007
Last updated
08/14/2007
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