|
| |
|
138 S 1st St Ste 6 Montesano WA 98563-3623 | |
| (360) 964-4138 | |
| (360) 964-4143 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 138 S 1st St Ste 6, Montesano, Washington |
| Authorized Official Name and Position | Elizabeth Mary Criner (SUBSTANCE USE DISORDER PROFESSIONAL) |
| Authorized Official Contact | 3609644138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
138 S 1st St Ste 6 Montesano WA 98563-3623 Ph: (360) 964-4138 | 138 S 1st St Ste 6 Montesano WA 98563-3623 Ph: (360) 964-4138 |
| NPI Number | 1992331631 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992331631 | NPI | - | NPPES |
| 02150615 | Medicaid | WA |
Connections, A Center For Healthy Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-0005 | |
Connections, A Center For Healthy Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Broadway Ave, Montesano, WA 98563 Phone: 360-240-0005 Fax: 360-249-0030 |