Provider Demographics
NPI:1659962785
Name:COMMUNITY PARTNERSHIPS FOR MENTAL HEALTH
Entity Type:Organization
Organization Name:COMMUNITY PARTNERSHIPS FOR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LETA
Authorized Official - Middle Name:MAE LYNN
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-207-9211
Mailing Address - Street 1:PO BOX 1056
Mailing Address - Street 2:
Mailing Address - City:KETTLE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99141-1056
Mailing Address - Country:US
Mailing Address - Phone:509-675-3099
Mailing Address - Fax:
Practice Address - Street 1:365 W. 3RD AVE.
Practice Address - Street 2:
Practice Address - City:KETTLE FALLS
Practice Address - State:WA
Practice Address - Zip Code:99141
Practice Address - Country:US
Practice Address - Phone:509-675-3099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management