Organization
SMART MOVES INTEGRATED HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY MATZEN (CREDENTIALING)
(360) 355-0322
Entity
Organization
Contact information
Practice address
117 SPRUCE ST E, ILWACO, WA 98624-9174
(253) 297-5570
Mailing address
PO BOX E, ILWACO, WA 98624-0170
(253) 297-5570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
07/01/2022
Last updated
07/21/2022
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