Organization
SOUTHWEST WASHINGTON BEHAVIORAL HEALTH REGIONAL SUPPORT NETWORK
Active
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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