Individual provider · Type 1 NPI

Juline K. Dual, CG60709757

Mental Illness Community Based Residential Treatment Facility · Vancouver, WA

NPI number 1740723220 Active

Practice location

7415 NE 94th Ave
Vancouver, WA 98662-3859

Call (360) 253-6019 Map

Mailing address

3812 E 14th St
Vancouver, WA 98661-5427

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XCG60709757 (WA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1740723220

Juline K. Dual, CG60709757's National Provider Identifier is 1740723220, issued on Dec 1, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Vancouver, WA. The record was last updated on Dec 1, 2016.