| NPI | 1285155366 |
|---|---|
| Doing Business As | GREAT RIVERS BEHAVIOR HEALTH AGENCY DBA COMMUNITY |
| Doing Business As | GREAT RIVERS BEHAVIOR HEALTH AGENCY DBA COMMUNITY INTEGRATED HEALTH SERVICES |
| Doing Business As | GREAT RIVERS BEHAVIOR HEALTH AGENCY |
| Entity Type | Organization |
| Authorized Contact | MARC EDMUND BOLLINGER Administrator 360-795-5955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 603564565) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-06-16 |