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ROGERS BEHAVIORAL HEALTH - WASHINGTON

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Company Details

Legal Name: ROGERS BEHAVIORAL HEALTH - WASHINGTON
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 22nd 2019
Expiration date: 30 Nov 2025
UBI Number: 604 547 224
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1215 114TH AVE SE, BELLEVUE, WA, 98004-6929, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 34700 VALLEY RD, OCONOMOWOC, WI, 53066-4500, UNITED STATES

Contact Details

E-Mail: CONTRACTS@ROGERSBH.ORG
Phone Number: +1 800-767-4411

Nature of Business

TREATMENT FOR BEHAVIORAL HEALTH AND SUBSTANCE ABUSE

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Registered Agent Information

Name Role
REGISTERED AGENTS INC Registered Agent

Key Officers & Management

Name Role Address
CINDY MEYER Governing Person -
PATRICK T HAMMER Initial Board Of Director 34700 VALLEY RD, OCONOMOWOC, WI, 53066-4500, UNITED STATES
PAUL MUELLER Initial Board Of Director 34700 VALLEY RD, OCONOMOWOC, WI, 53066-4500, UNITED STATES
VICTOR MOLDOVAN INCORPORATOR 1180 W PEACHTREE ST NW # 1800, ATLANTA, GA, 30309-3407, UNITED STATES

National Provider Identifier

NPI Number:
1447866496
Certification Date:
2024-02-21

Authorized Person:

Name:
CINDY MEYER
Role:
PRESIDENT & CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

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