National Provider Identifier Database

DEPARTMENT OF SOCIAL AND HEALTH SERVICE
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

DEPARTMENT OF SOCIAL AND HEALTH SERVICE
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA98531
Phone: 564-464-5439
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for DEPARTMENT OF SOCIAL AND HEALTH SERVICE

NPI Number 1073370045
Legal business name
LBN
DEPARTMENT OF SOCIAL AND HEALTH SERVICE
Authorized official AMY UMBERGER - (NGRI QUALITY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/05/2024
Last updated 03/05/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

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