NPIMap

Organization Active NPI

American Behavioral Health Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Chehalis, WA
National Provider Identifier
1609365238
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
Practice address
500 SE Adams Ave
Chehalis, WA 98532
Phone
(509) 232-5766
Fax
(509) 321-5472
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tiffany Dawn Stretch
Title
Cfo
Phone
(509) 232-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

500 SE Adams Ave
Chehalis, WA 98532

Mailing address

PO Box 141106
Spokane Valley, WA 99214-1106
Phone (509) 232-5766

Other names 1

  • Chehalis Detox Other name

National Provider Directory

National Provider Directory
Tax ID family
American Behavioral Healt Systems Inc15 organizations share this tax ID, including this one
Part of
American Behavioral Healt Systems Inc

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1609365238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141106",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992141106",
            "telephone_number": "509-232-5766",
            "fax_number": "509-321-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE ADAMS AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "98532",
            "telephone_number": "509-232-5766",
            "fax_number": "509-321-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "STRETCH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-232-5766"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chehalis Detox",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Chehalis Detox",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.