Organization
DEPARTMENT OF SOCIAL AND HEALTH SERVICE
Active
Other names
DSHS Behavioral and Treatment Center-Maple Lane
Organization subpart
No
Provider details
NPI number
Authorized official
AMY UMBERGER LICSW (NGRI QUALITY MANAGER)
(253) 993-0557
Entity
Organization
Contact information
Practice address
20311 OLD HIGHWAY 9 SW, CENTRALIA, WA 98531
(564) 464-5439
Mailing address
20311 OLD HIGHWAY 9 SW, CENTRALIA, WA 98531
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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