Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Other names
FBH Vancouver
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST)
(253) 761-3898
Entity
Organization
Contact information
Practice address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6347
(360) 567-2211
(360) 567-2212
Mailing address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6347
(360) 567-2211
(360) 567-2212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
192
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192
COMMUNITY MENTAL HEALTH LICENSE
WA
Enumeration date
08/13/2009
Last updated
10/15/2018
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