Provider Demographics
NPI:1548624455
Name:CATALYST NATURAL HEALTH
Entity type:Organization
Organization Name:CATALYST NATURAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:509-579-0150
Mailing Address - Street 1:201 N EDISON ST STE 236
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1983
Mailing Address - Country:US
Mailing Address - Phone:509-579-0150
Mailing Address - Fax:509-737-1319
Practice Address - Street 1:201 N EDISON ST STE 236
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1983
Practice Address - Country:US
Practice Address - Phone:509-579-0150
Practice Address - Fax:509-737-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60606135261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care