Organization
EUGENIA CENTER
Active
Parent organization
EUGENIA CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EUGENIA CENTER
Authorized official
FABIOLA GONZALEZ (EXECUTIVE DIRECTOR)
(360) 266-5585
Entity
Organization
Contact information
Practice address
151 N MARKET BLVD, CHEHALIS, WA 98532-2677
(360) 948-0203
Mailing address
PO BOX 1371, CHEHALIS, WA 98532-0340
(360) 948-0203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009072
—
WA
Enumeration date
06/18/2019
Last updated
03/09/2020
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