Organization
COMMUNITY SERVICES NORTHWEST
Active
Organization
COMMUNITY SERVICES NORTHWEST
Active
Other names
Mental Health Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P. MOREN RN (EXECUTIVE DIRECTOR)
(360) 397-8005
Entity
Organization
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, BLDG 17 SUITE B222, VANCOUVER, WA 98661-3753
(360) 397-8484
(360) 397-8494
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
(360) 397-8484
(360) 397-8494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
602-237-149
WA
251S00000X
Community/Behavioral Health Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994615
—
WA
Enumeration date
10/11/2006
Last updated
02/02/2015
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