Organization
VEST THURSTON LLC
Active
Other names
SOUTH SOUND BEHAVIORAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN KRESCH (MANAGER)
(212) 243-5565
Entity
Organization
Contact information
Practice address
605 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1045
(844) 949-8888
(360) 764-8421
Mailing address
605 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1045
(844) 949-8888
(360) 764-8421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
01/31/2020
Last updated
06/10/2021
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