Organization
CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUTTE (EXECUTIVE DIRECTOR)
(360) 699-2244
Entity
Organization
Contact information
Practice address
13500 SE 7TH ST, VANCOUVER, WA 98683-6909
(360) 699-2244
(360) 699-1900
Mailing address
13500 SE 7TH ST, VANCOUVER, WA 98683-6909
(360) 699-2244
(360) 699-1900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
217
WA
1041C0700X
Clinical Social Worker
217
WA
106H00000X
Marriage & Family Therapist
217
WA
2084P0800X
Psychiatry Physician
217
WA
2084P0804X
Child & Adolescent Psychiatry Physician
217
WA
251B00000X
Case Management Agency
217
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
217
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980325
—
WA
Enumeration date
07/26/2006
Last updated
07/01/2022
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