| Behavioral Health Resources | |
|
110 W K St Shelton WA 98584-2939 | |
| (360) 426-1696 | |
| (360) 427-0357 |
| Full Name | Behavioral Health Resources |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 W K St, Shelton, Washington |
| Authorized Official Name and Position | Eric Jensen (CONTROLLER) |
| Authorized Official Contact | 3602367170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Resources 3857 Martin Way E Olympia WA 98506-5268 Ph: (360) 704-7170 | Behavioral Health Resources 110 W K St Shelton WA 98584-2939 Ph: (360) 426-1696 |
| NPI Number | 1194896654 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 12/27/2019 |
| Certification Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194896654 | NPI | - | NPPES |
| 1993088 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 600144953 (Washington) | Primary |
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