Organization
SOUTHWEST WASHINGTON BEHAVIORAL HEALTH REGIONAL SUPPORT NETWORK
Active
Other names
Southwest Washington Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE MOM-CHHING (CHIEF EXECUTIVE OFFICER)
(360) 397-8222
Entity
Organization
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, BLDG. 17, SUITE C214, VANCOUVER, WA 98661-3753
(360) 397-8222
(360) 397-6128
Mailing address
PO BOX 664, VANCOUVER, WA 98666-0664
(360) 397-8222
(360) 397-6128
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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