Organization
COLUMBIA WELLNESS
Active
Other names
Cowlitz County Guidance Association
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ANDREW MCDANIEL (CEO)
(360) 423-0203
Entity
Organization
Contact information
Practice address
720 14TH AVENUE, LONGVIEW, WA 98632-2316
(360) 423-0203
(360) 423-5086
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 423-2311
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980903
—
WA
Enumeration date
06/16/2005
Last updated
04/19/2022
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