Fern Haven Center
Counselor in Olympia, WA. Organization (NPI-2).
NPI number1114044690
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1114044690
- Entity type
- Organization (NPI-2)
- Legal business name
- Fern Haven Center
- Organization subpart
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | RC00046950 | WA | Yes |
Practice location
5721 Libby Rd NeOlympia, WA 98506-1929
Phone 360-754-1600 · Fax 360-754-4452
Mailing address
5721 Libby Rd NeOlympia, WA 98506-1929
Phone 360-754-1600 · Fax 360-754-4452
Authorized official
Rod Davis
Director
3607541600
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