NPI | 1841704814 |
---|---|
Doing Business As | FIDALGO BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | NATHANAEL WARD CARDON Provider, Sole Member 360-755-3474 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA OP60248624) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2023-12-29 |