Organization
LIFELINE CONNECTIONS HEALTH HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINH REYNOLDS (CFO)
(360) 397-8246
Entity
Organization
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, SUITE A212, VANCOUVER, WA 98661
(360) 397-8246
(360) 397-8250
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-8246
(360) 397-8250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CO.60429455
WA
Other
Enumeration date
11/02/2017
Last updated
03/01/2023
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