ContractBehavioral Health – Administrative Services Organization Contract • June 26th, 2022
Contract Type FiledJune 26th, 2022CONTRACT AMENDMENT BEHAVIORAL HEALTH – ADMINSTRATIVE SERVICES ORGANIZATION HCA Contract No.: K4949 Amendment No.: 05 THIS AMENDMENT TO THE BEHAVIORAL HEALTH – ADMINISTRATIVE SERVICES ORGANIZATION CONTRACT is betweenthe Washington State Health Care Authority and the party whose name appears below, and is effective as of the date setforth below. CONTRACTOR NAMENorth Sound Behavioral Health Organization CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS2021 E. College Way, Suite 101 Mount Vernon, WA 98273 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI)603-583-336