| Ohana Community Services | |
|
351 Three Rivers Dr Ste 166 Kelso WA 98626-3125 | |
| (360) 909-5762 | |
| Not Available |
| Full Name | Ohana Community Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 351 Three Rivers Dr Ste 166, Kelso, Washington |
| Authorized Official Name and Position | Anson Service (OWNER) |
| Authorized Official Contact | 3609095762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Community Services 717 Ne 61st St Ste 202 Vancouver WA 98665-8756 Ph: (360) 718-6548 | Ohana Community Services 351 Three Rivers Dr Ste 166 Kelso WA 98626-3125 Ph: (360) 909-5762 |
| NPI Number | 1295324135 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295324135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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