| NPI | 1861269342 |
|---|---|
| Doing Business As | JEANETTE REVAY |
| Doing Business As | COMMUNITY HEALTH OUTREACH |
| Entity Type | Organization |
| Authorized Contact | BROOK EASTMAN Office Manager 360-481-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |