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DEPARTMENT OF SOCIAL AND HEALTH SERVICE
NPI 1073370045
Community Based Residential Treatment Facility, Mental Illness in Centralia, WA

Active since March 05, 2024
20311 OLD HIGHWAY 9 SW, CENTRALIA, WA 98531(564) 464-5439 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Department Of Social And Health Service NPPES

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

DEPARTMENT OF SOCIAL AND HEALTH SERVICE (NPI 1073370045), doing business as Dshs Behavioral And Treatment Center-maple Lane, is a healthcare organization registered as a community based residential treatment facility, mental illness in Centralia, Washington and active in the NPI registry since March 2024. The organization lists Amy Umberger, Ngri Quality Manager, as its authorized official.

NPPES Registry Identity

NPI1073370045
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDEPARTMENT OF SOCIAL AND HEALTH SERVICE
Location Address20311 OLD HIGHWAY 9 SWCentralia, WA 98531
Mailing Address20311 Old Highway 9 SwCentralia, WA 98531
Phone(564) 464-5439
Organization SubpartNo
Authorized OfficialAmy UmbergerNgri Quality Manager · (253) 993-0557
Enumeration DateMarch 5, 2024
✔ NPI 1073370045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
20311 OLD HIGHWAY 9 SW, Centralia, WA 98531
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Other Names 1

Doing Business AsDshs Behavioral And Treatment Center-maple Lane

Other Providers at the Same Location NPPES 11

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

DR. WILLIAM EARL HAYES PHARMD
Pharmacist
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-3382
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Pharmacy
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-4641
MRS. JULIE HELEN KRAUSE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-4641
JAYSON LEE CASE
Counselor (Mental Health)
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-4641
MR. ZAXHARY PAUL-DEAN BAGLEY
Counselor (Mental Health)
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-4641
BRIANA THOMAS PHARMD
Pharmacist
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-3400
MATTHEW LAWRENCE CRAYPO COUNSELOR
Counselor (Mental Health)
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-4641
FRUMENTIUS RYCHARDE HORTON
Counselor (Mental Health)
20311 OLD HIGHWAY 9 SW
CENTRALIA, WA 98531
Lewis County (360) 664-4641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Social And Health Service's NPI number?

The NPI number for Department Of Social And Health Service is 1073370045. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as DSHS Behavioral and Treatment Center-Maple Lane.

Where is Department Of Social And Health Service located?

Department Of Social And Health Service is located at 20311 Old Highway 9 SW, Centralia, WA 98531. The listed phone number is (564) 464-5439.

What is Department Of Social And Health Service's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Department Of Social And Health Service was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.