Organization
CITYVIEW
Active
Parent organization
COUNTY OF GRANT
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF GRANT
Authorized official
JALANE CHRISTIAN-STOKER MA (EXECUTIVE DIRECTOR)
(509) 765-9239
Entity
Organization
Contact information
Practice address
836 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Mailing address
836 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
(509) 765-4124
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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