NPI 1821459041

Cullum House

Organisation Mental Illness Community Based Residential Treatment Facility Richland, WA

Practice location

Address: 208 Cullum Ave, Richland, WA 99352-4534
Phone: (509) 946-5918

Authorised official

Name: Augustine Gonzales
Title: Residential Counselor
Phone: (509) 946-5918

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 602813818 (WA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Washington →

Registry record

NPI: 1821459041
Entity type: Organization
NPI issued: 16 Mar 2016
Record last updated: 16 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.