Provider Demographics
NPI:1871835314
Name:CHELAN-DOUGLAS CHILD SERVICES ASSOCIATION
Entity Type:Organization
Organization Name:CHELAN-DOUGLAS CHILD SERVICES ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-663-5179
Mailing Address - Street 1:1305 KITTITAS ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3600
Mailing Address - Country:US
Mailing Address - Phone:509-663-5179
Mailing Address - Fax:509-662-6363
Practice Address - Street 1:1305 KITTITAS ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3600
Practice Address - Country:US
Practice Address - Phone:509-663-5179
Practice Address - Fax:509-662-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA201122251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management