Organization · Type 2 NPI

Great Rivers Behavioral Health Organization

Community/Behavioral Health Agency · Chehalis, WA

NPI number 1285155366 Active

Practice location

57 W Main Street, Suite 260
Chehalis, WA 98532

Call (360) 795-5955 Map

Fax (360) 740-8099

Mailing address

PO Box 1447
Chehalis, WA 98532

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	603564565 (WA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1285155366
Entity type: Organization (Type 2)
Issued: Jun 29, 2017
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Great Rivers Behavioral Health Organizati

Other names

<unavail>
Great Rivers Behavior Health Agency · 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

Authorized official

Mr. Marc Edmund Bollinger, LICSW
Administrator
(360) 795-5955

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285155366

Great Rivers Behavioral Health Organization's National Provider Identifier is 1285155366, issued on Jun 29, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chehalis, WA. The record was last updated on Jun 16, 2018.