Organization
CRADLESTONE, LLC
Active
Other names
CradleStone, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JOHN WIEGENSTEIN AS, BA, MS (CEO/COUNSELOR)
(360) 682-5519
Entity
Organization
Contact information
Practice address
780 SE BAYSHORE DR # 201, OAK HARBOR, WA 98277-5701
(360) 682-5519
Mailing address
PO BOX 891, OAK HARBOR, WA 98277-0891
(360) 682-5519
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
604194142
WA
261QM0850X
Adult Mental Health Clinic/Center
604194142
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
604194142
WA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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