Organization Name: | OKANOGAN BEHAVIORAL HEALTHCARE |
NPI Number: | 1154324929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER BAUER (CEO) |
Mailing Address: | 107 W. Apple Omak |
State: | WA US |
Postal Code: | 988413028 |
Phone Number: | 5098266191 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |