Mental Health Skillbuilders

LBN: Squaxin Island Tribe
Mental Health Skillbuilders is an health care organization with primary practice located at 90 Se Klah Che Min Drive , Shelton WA 98584. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Squaxin Island Tribe can be contacted via phone (360) 427-9006, or through Fox, Edward J via phone (360) 427-9006.

Contact Information

Primary practice address
90 Se Klah Che Min Drive Shelton WA 98584
Fax: (360) 427-1951
Website:
Authorized official contact:
Name: Fox, Edward J PHD

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 600371470 Washington

Profile Details

NPI number 1023226685
LBN Legal business name Squaxin Island Tribe
DBA Doing business as Mental Health Skillbuilders
Authorized official Fox, Edward J PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2007
Last updated Jul 25th, 2008 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023226685 NPPES
Washington MEDICAID 1980994

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