Organization
COMMUNITY HOUSE ON BROADWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MORRISON (EXECUTIVE DIRECTOR)
(360) 200-5419
Entity
Organization
Contact information
Practice address
1107 BROADWAY ST, LONGVIEW, WA 98632-3830
(360) 200-5419
Mailing address
PO BOX 403, LONGVIEW, WA 98632-7260
(360) 200-5419
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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