Organization
CHOICES AND CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE E GERLACH (ADMINISTRATOR)
(509) 735-7899
Entity
Organization
Contact information
Practice address
1236 COLUMBIA PARK TRL, RICHLAND, WA 99352-4760
(509) 735-7899
(509) 375-7698
Mailing address
1236 COLUMBIA PARK TRL, RICHLAND, WA 99352-4760
(509) 735-7899
(509) 375-7698
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
03 0428 00
WA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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