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Department of Social and Health Service — NPI 1073370045, Centralia, WA | NPI Central

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NPI 1073370045

OrganizationActive

Department of Social and Health Service

NPI 1073370045 · Mental Illness Community Based Residential Treatment Facility · Centralia, WA

Provider details

NPI number: 1073370045
Entity type: Organization
Primary specialty: Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Amy Umberger, Ngri Quality Manager(253) 993-0557

Specialties & taxonomies

Mental Illness Community Based Residential Treatment FacilityPrimary320800000X
Residential Treatment Facilities

Practice location

20311 Old Highway 9 Sw

Centralia, WA 98531

Phone: (564) 464-5439

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

20311 Old Highway 9 Sw

Centralia, WA 98531

Other names (DBA / former)

Doing business as: Dshs Behavioral and Treatment Center-Maple Lane

Registry dates

Enumerated: 2024-03-05
Last updated: 2024-03-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.