| Great Rivers Behavioral Health Administrative Services Organization | |
|
57 W Main St Ste 185 Chehalis WA 98532-4815 | |
| (360) 607-6204 | |
| Not Available |
| Full Name | Great Rivers Behavioral Health Administrative Services Organization |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57 W Main St Ste 185, Chehalis, Washington |
| Authorized Official Name and Position | Brian J. Cameron (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 3606076204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Rivers Behavioral Health Administrative Services Organization Po Box 1447 Chehalis WA 98532-0378 Ph: () - | Great Rivers Behavioral Health Administrative Services Organization 57 W Main St Ste 185 Chehalis WA 98532-4815 Ph: (360) 607-6204 |
| NPI Number | 1043861743 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043861743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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