Organization
EUGENIA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIOLA GONZALEZ (CEO)
(360) 266-5585
Entity
Organization
Contact information
Practice address
405 NORTH PARK STREET, ABERDEEN, WA 98520-3924
(360) 660-1011
(360) 660-1009
Mailing address
PO BOX 1371, CHEHALIS, WA 98532-2677
(360) 266-5585
(360) 262-6620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009072
—
WA
Enumeration date
03/09/2020
Last updated
01/31/2024
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