Provider Demographics
NPI:1083859722
Name:TEAMING FOR SUCCESS
Entity Type:Organization
Organization Name:TEAMING FOR SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-529-5133
Mailing Address - Street 1:121 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-4054
Mailing Address - Country:US
Mailing Address - Phone:509-529-5133
Mailing Address - Fax:509-525-3442
Practice Address - Street 1:121 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-4054
Practice Address - Country:US
Practice Address - Phone:509-529-5133
Practice Address - Fax:509-525-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health