Organization
FOUR ELEMENTS BEHAVIORAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA GOULDING (BILLING REP)
(419) 565-7298
Entity
Organization
Contact information
Practice address
1104 MAIN ST STE M110, VANCOUVER, WA 98660-2980
(360) 695-1075
(360) 326-1736
Mailing address
1104 MAIN ST STE M110, VANCOUVER, WA 98660-2980
(360) 695-1075
(360) 326-1736
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/30/2020
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