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EUGENIA CENTER

Ambulatory Health Care Facilities Clinic/Center Mental Health (Including Community Mental Health Center)

Provider NPI: 1508426875

Organization Information:
Organization Name:  EUGENIA CENTER
Organization is Subpart
Authorized Official:  SARAH  HANSHAW  EXECUTIVE ASSISTANT  360-623-9270

Practice Location:
230 E STATE ST  MOSSYROCK, WA 98564-2501 US
Tel: 360-983-3227  Fax: --

Business Mailing Address:
PO BOX 1371  CHEHALIS, WA 98532-0340 US
Tel: 360-948-0203  Fax: --

NPI Information:
NPI: 1508426875
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Mental Health (Including Community Mental Health Center)
Y261QR0405XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
1376696096WA05



American Medical Association 2012 taxonomy code information

Code: 261QR0405X

Type:

Classification:



Definition:



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