| Great Rivers Behavior Health Agency Dba Community | |
|
57 W Main Street Suite 260 Chehalis WA 98532 | |
| (360) 795-5955 | |
| (360) 740-8099 |
| Full Name | Great Rivers Behavior Health Agency Dba Community |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57 W Main Street, Chehalis, Washington |
| Authorized Official Name and Position | Marc Edmund Bollinger (ADMINISTRATOR) |
| Authorized Official Contact | 3607955955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Rivers Behavior Health Agency Dba Community Po Box 1447 Chehalis WA 98532 Ph: (360) 795-5955 | Great Rivers Behavior Health Agency Dba Community 57 W Main Street Suite 260 Chehalis WA 98532 Ph: (360) 795-5955 |
| NPI Number | 1285155366 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285155366 | NPI | - | NPPES |
| 200458 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 603564565 (Washington) | Primary |
Evergreen Psychological Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 W Main St, Chehalis, WA 98532 Phone: 360-740-8533 Fax: 360-740-8534 | |
Great Rivers Behavioral Health Administrative Services Organization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 W Main St Ste 185, Chehalis, WA 98532 Phone: 360-607-6204 | |
Eugenia Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 North Market Blvd, Ste C, Chehalis, WA 98532 Phone: 360-948-0203 Fax: 360-262-6620 | |
Walmart Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Louisiana Ave, Chehalis, WA 98532 Phone: 360-748-0858 | |
Eugenia Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Market Blvd, Chehalis, WA 98532 Phone: 360-948-0203 | |
Internal Acceptance, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Nw Boistfort St, Chehalis, WA 98532 Phone: 360-349-1544 Fax: 844-270-5866 |