| NPI | 1134657778 |
|---|---|
| Doing Business As | CHILD AND ADOLESCENT CLINIC HEALTH HOMES |
| Entity Type | Organization |
| Authorized Contact | CHELSAY PEDERSEN Credentialing Specialist 360-423-6140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |