Community Services Northwest

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

NPI 1720176894 · NPPES record last updated Feb 2, 2015

Key facts

NPI
1720176894
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
COMMUNITY SERVICES NORTHWEST
Practice address
1601 E Fourth Plain Blvd
BLDG 17 Suite B222
Vancouver, WA 98661-3753
Phone
(360) 397-8484
Fax
(360) 397-8494
NPI assigned
Oct 11, 2006
Organization subpart
No

Authorized official

Name
Mr. John P. Moren, RN
Title
Executive Director
Phone
(360) 397-8005

Practitioners 141

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 141

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 602-237-149 WA
Community/Behavioral Health Agency 251S00000X WA Yes

Addresses

Primary practice location

1601 E Fourth Plain Blvd
BLDG 17 Suite B222
Vancouver, WA 98661-3753

Mailing address

PO Box 1845
Vancouver, WA 98668-1845
Phone (360) 397-8484

Other identifiers

IdentifierTypeStateIssuer
1994615MedicaidWA

Other names

  • Mental Health Northwest Former legal business name

Other providers in Vancouver, WA

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

Sources for this page

Verify at the official NPI Registry.