Fern Haven Center

NPI 1114044690 - Counselor - 101Y00000X

NPI Details
NPI 1114044690
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROD ROD
Position DIRECTOR
Phone (360) 754-1600
Fax (360) 754-4452
Practice Location
5721 LIBBY RD NE
OLYMPIA WA, 98506-1929, US
Phone (360) 754-1600
Fax (360) 754-4452
Business Location
5721 LIBBY RD NE
OLYMPIA WA, 98506-1929, US
Phone (360) 754-1600
Fax (360) 754-4452
Toxanomy
Taxonomy Code 101Y00000X
License State Washington
License Number RC00046950
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According to our database, Fern Haven Center NPI is 1114044690, taxonomy code is 101Y00000X and license number is RC00046950, license state is located at Washington. Fern Haven Center physically located at 5721 Libby Rd Ne, Olympia WA, 98506-1929. NPI Number 1033115704 has the healthcare provider type.

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1114044690 NPI number is provided on an as is basis without warranty of any kind. 1114044690 is maintained by the National Plan & Provider Enumeration System. The contents of Fern Haven Center are for informational purposes only.