National Provider Identifier Database

GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION
57 W MAIN STREET
SUITE 260
CHEHALIS, WA98532
Phone: 360-795-5955
Fax: 360-740-8099
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION

NPI Number 1285155366
Legal business name
LBN
GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION
Authorized official MARC BOLLINGER - (ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 06/29/2017
Last updated 06/16/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 603564565
  • WA Medicaid: 200458

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION

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