Organization
VEST THURSTON LLC
Active
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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