Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Other names
FBH Aberdeen
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST)
(253) 761-3898
Entity
Organization
Contact information
Practice address
224 E WISHKAH ST, ABERDEEN, WA 98520-6513
(360) 878-8248
Mailing address
224 E WISHKAH ST, ABERDEEN, WA 98520-6513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169
COMMUNITY MENTAL HEALTH LICENSE
—
Enumeration date
12/07/2011
Last updated
10/11/2018
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