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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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