Organization
TRI-CITIES CHAPLAINCY
Active
Parent organization
TRI-CITIES CHAPLAINCY
Other names
Tri-Cities Chaplaincy Supportive Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-CITIES CHAPLAINCY
Authorized official
GARY CASTILLO (ACTING EXECUTIVE DIRECTOR)
(509) 783-7416
Entity
Organization
Contact information
Practice address
1480 FOWLER ST, RICHLAND, WA 99352-4717
(509) 783-7416
(509) 735-7850
Mailing address
1480 FOWLER ST, RICHLAND, WA 99352-4717
(509) 783-7416
(509) 735-7850
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
601128829
WA
207R00000X
Internal Medicine Physician
601128829
WA
363L00000X
Nurse Practitioner
601128829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3990124
—
WA
Enumeration date
06/03/2015
Last updated
06/03/2015
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