| 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 |