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Catholic Community Services of Western Washington

Organization Active NPI Community/Behavioral Health Agency · Aberdeen, WA

NPI 1124396932 · NPPES record last updated Oct 11, 2018

Key facts

NPI
1124396932
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
169 (WA)
Legal business name
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Practice address
224 E Wishkah St
Aberdeen, WA 98520-6513
Phone
(360) 878-8248
NPI assigned
Dec 7, 2011
Organization subpart
No

Authorized official

Name
Stephanie M. Thelen
Title
Compliance & Policy Analyst
Phone
(253) 761-3898

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

National Provider Directory

Tax ID family
Catholic Community Services WW (34 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 169 WA Yes

Addresses

Primary practice location

224 E Wishkah St
Aberdeen, WA 98520-6513

Mailing address

224 E Wishkah St
Aberdeen, WA 98520-6513

Other identifiers

IdentifierTypeStateIssuer
169OtherCOMMUNITY MENTAL HEALTH LICENSE

Other names

  • FBH Aberdeen Other name

Other providers in Aberdeen, WA

All providers in Aberdeen, WA · Community/Behavioral Health Agency in Washington

Sources for this page

Verify at the official NPI Registry.