Behavioral Health Resources | |
525 E Main Street Elma WA 98541 | |
(360) 482-5358 | |
(360) 482-6256 |
Full Name | Behavioral Health Resources |
---|---|
Speciality | Community/behavioral Health |
Location | 525 E Main Street, Elma, Washington |
Authorized Official Name and Position | Eric Jensen (CONTROLLER) |
Authorized Official Contact | 3602367170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavioral Health Resources 3857 Martin Way E Olympia WA 98506-5268 Ph: (360) 704-7170 | Behavioral Health Resources 525 E Main Street Elma WA 98541 Ph: (360) 482-5358 |
NPI Number | 1306918750 |
---|---|
Provider Enumeration Date | 11/14/2006 |
Last Update Date | 12/27/2019 |
Certification Date | 12/27/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306918750 | NPI | - | NPPES |
9629577 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 600255953 (Washington) | Primary |
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