Organization · Type 2 NPI
Cowlitz Family Health Center
Substance Use Disorder Rehabilitation Clinic/Center · Kelso, WA
NPI number
1104243534
Active
Practice location
621 Grade St
Kelso, WA 98626-2606
Fax (360) 232-8400
Mailing address
1057 12th Ave
Longview, WA 98632-2509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
4 other providers at this address
- Deborah SmithAddiction (Substance Use Disorder) Counselor Kelso, WA NPI 1083092548
- Gregory Ernest Erbes, SUDPAddiction (Substance Use Disorder) Counselor Kelso, WA NPI 1629328612
- Michelle Buckholz, SUDPAddiction (Substance Use Disorder) Counselor Kelso, WA NPI 1215323977
- Rama Mitchell Jr., SUDPAddiction (Substance Use Disorder) Counselor Kelso, WA NPI 1609266717
About NPI 1104243534
Cowlitz Family Health Center's National Provider Identifier is 1104243534, issued on Mar 24, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kelso, WA. The record was last updated on May 31, 2022.