Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST)
(253) 761-3898
Entity
Organization
Contact information
Practice address
7610 40TH ST W, UNIVERSITY PLACE, WA 98466-3834
(253) 830-6242
Mailing address
5410 N 44TH ST, TACOMA, WA 98407-3715
(253) 759-9544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/31/2013
Last updated
10/15/2018
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