Organization
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Active
Other names
FBH Northend
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST)
(253) 761-3898
Entity
Organization
Contact information
Practice address
5410 N 44TH ST, TACOMA, WA 98407-3799
(253) 759-9544
Mailing address
1001 N J ST, TACOMA, WA 98403-2125
(253) 761-3898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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