| Children's Home Society | |
|
1014 Walla Walla Ave Wenatchee WA 98801-1523 | |
| (509) 663-0034 | |
| Not Available |
| Full Name | Children's Home Society |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1014 Walla Walla Ave, Wenatchee, Washington |
| Authorized Official Name and Position | Ana Lilia Gonzalez (WISE COORDINATOR) |
| Authorized Official Contact | 5096630034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Society 1014 Walla Walla Ave Wenatchee WA 98801-1523 Ph: (509) 663-0034 | Children's Home Society 1014 Walla Walla Ave Wenatchee WA 98801-1523 Ph: (509) 663-0034 |
| NPI Number | 1376056796 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376056796 | NPI | - | NPPES |
| CG60549819 | Other | WA | COUNSELOR AGENCY AFFILIATED REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | CG60549819 (Washington) | Primary |
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