| Catholic Community Services Of Western Washington | |
|
224 E Wishkah St Aberdeen WA 98520-6513 | |
| (360) 878-8248 | |
| Not Available |
| Full Name | Catholic Community Services Of Western Washington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 224 E Wishkah St, Aberdeen, Washington |
| Authorized Official Name and Position | Stephanie M. Thelen (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Contact | 2537613898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Community Services Of Western Washington 224 E Wishkah St Aberdeen WA 98520-6513 Ph: () - | Catholic Community Services Of Western Washington 224 E Wishkah St Aberdeen WA 98520-6513 Ph: (360) 878-8248 |
| NPI Number | 1124396932 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124396932 | NPI | - | NPPES |
| 169 | Other | COMMUNITY MENTAL HEALTH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 169 (Washington) | Primary |
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