Organization
PROACTIVE SUPPORTIVE HOUSING SERVICES, INC.
Active
Parent organization
PROACTIVE SUPPORTIVE HOUSING SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROACTIVE SUPPORTIVE HOUSING SERVICES, INC.
Authorized official
MICHELE BAUMGART (VICE PRESIDENT)
(360) 952-3997
Entity
Organization
Contact information
Practice address
218 N 3RD ST, SHELTON, WA 98584-3502
(360) 952-3997
Mailing address
PO BOX 1115, SHELTON, WA 98584-0936
(360) 952-3997
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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