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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