Provider Demographics
NPI:1134802705
Name:SAGEBRUSH EMPLOYMENT SERVICES, LLC
Entity type:Organization
Organization Name:SAGEBRUSH EMPLOYMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:STANTON
Authorized Official - Last Name:BRANT
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:360-621-6640
Mailing Address - Street 1:713 JADWIN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4202
Mailing Address - Country:US
Mailing Address - Phone:509-940-4084
Mailing Address - Fax:
Practice Address - Street 1:4250 FRENCH ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8474
Practice Address - Country:US
Practice Address - Phone:253-722-9524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health