Organization
FERN HAVEN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD DAVIS PH.D. (DIRECTOR)
(360) 754-1600
Entity
Organization
Contact information
Practice address
5721 LIBBY RD NE, OLYMPIA, WA 98506-1929
(360) 754-1600
(360) 754-4452
Mailing address
5721 LIBBY RD NE, OLYMPIA, WA 98506-1929
(360) 754-1600
(360) 754-4452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00046950
WA
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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