GREAT RIVERS BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORG
NPI 1043861743
Community/Behavioral Health in Centralia, WA

Q: What is Great Rivers Behavioral Health Administrative Services Org's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 24, 2019

1723 KRESKY AVE, CENTRALIA, WA 98531(800) 215-4460(855) 936-1291 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Sep 24, 2019 (2 updates tracked since 2019).

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About Great Rivers Behavioral Health Administrative Services Org NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT RIVERS BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORG (NPI 1043861743) is a healthcare organization registered as a community/behavioral health in Centralia, Washington and active in the NPI registry since September 2019. The organization lists Trinidad I Medina, Chief Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043861743

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGREAT RIVERS BEHAVIORAL HEALTH ADMINISTRATIVE SERVICES ORG

Location Address1723 KRESKY AVECentralia, WA 98531

Mailing AddressPo Box 210Chehalis, WA 98532-0210 · (800) 215-4460 · Fax (855) 936-1291

Phone(800) 215-4460

Fax(855) 936-1291

Organization SubpartNo

Authorized OfficialTrinidad I MedinaChief Executive Director · (253) 336-3237

Enumeration DateSeptember 24, 2019

Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration

✔ NPI 1043861743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1723 KRESKY AVE, Centralia, WA 98531

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE GRIFFIN

Specialist/Technologist, Health Information