Organization
UNITED BEHAVIORAL HEALTH
Active
Other names
Optum Washington Health Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERI D DOLEZAL RN (CEO)
(253) 292-4189
Entity
Organization
Contact information
Practice address
3315 S 23RD ST, TACOMA, WA 98405-1605
(253) 292-4189
(253) 292-4219
Mailing address
3315 S 23RD ST, TACOMA, WA 98405-1605
(253) 292-4189
(253) 292-4219
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000085
WASHINGTON STATE HEALTH CARE AUTHORITY
WA
01
—
200008501
WASHINGTON STATE HEALTH CARE AUTHORITY
WA
Enumeration date
07/30/2013
Last updated
07/30/2013
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