Common Contracts

1 similar Client Services Contract contracts

CLIENT SERVICES CONTRACTFor CBO Prevention Services HCA Contract Number: K5263
Client Services Contract • July 22nd, 2021 • Washington

CONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) Lewis County Lewis County Public Health and Social Services CONTRACTOR Street City State Zip Code 360 NW NORTH STREET CHEHALIS WA 98532-1925 CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESSdarci.southgate@lewiscountywa.gov Darci Southgage 360-520-0820 Is Contractor a Subrecipient under this Contract? CFDA NUMBER(S): FFATA Form Required YES NO YES NO HCA PROGRAM HCA DIVISION/SECTION CBO Prevention Services Division of Behavioral Health and Recovery/SUDPrevention and MH Promotion Section HCA CONTACT NAME AND TITLE HCA CONTACT ADDRESS Brittany Smith, Contract Manager Health Care Authority626 8th Avenue SE, PO Box 42730 Olympia, WA 98504-2730 HCA CONTACT TELEPHONE HCA CONTACT E-MAIL ADDRESSbrittany.smith@hca.wa.gov 360-819-3570

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