Provider Demographics
NPI:1861990749
Name:LEWIS COUNTY WORK OPPORTUNITIES
Entity type:Organization
Organization Name:LEWIS COUNTY WORK OPPORTUNITIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-345-1094
Mailing Address - Street 1:122 SEARS RD
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-8719
Mailing Address - Country:US
Mailing Address - Phone:360-345-1094
Mailing Address - Fax:360-345-1097
Practice Address - Street 1:122 SEARS RD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-8719
Practice Address - Country:US
Practice Address - Phone:360-345-1094
Practice Address - Fax:360-345-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management