Organization
NORTH SOUND BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORGANIZATION LLC
Active
Other names
North Sound Regional Support Network, North Sound Behavioral Health Organization
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DEELENA MBA, MHA, CPHQ (COMPLIANCE OFFICER/PROJECT MANAGER)
(360) 416-7013
Entity
Organization
Contact information
Practice address
301 VALLEY MALL WAY STE 110, MOUNT VERNON, WA 98273-5462
(360) 416-7013
Mailing address
301 VALLEY MALL WAY STE 110, MOUNT VERNON, WA 98273-5462
(360) 416-7013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105020903
—
WA
Enumeration date
04/21/2020
Last updated
04/21/2020
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