Organization
QUALITY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA N BAILEY (MH THERAPIST)
(509) 758-3341
Entity
Organization
Contact information
Practice address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Mailing address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000001
1000001
WA
Enumeration date
05/31/2012
Last updated
05/31/2012
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