Common Contracts

1 similar Medicaid Contract Amendment contracts

Great Rivers Behavioral Health Organization
Medicaid Contract Amendment • March 1st, 2019

Eugenia Center PO Box 1371 Contract Number: 20170052 Chehalis, WA 98532 Contract Start Date: 7/1/2017 Contract End Date: 6/30/2019 Amendment Effective Date: 03/01/2019 Contract Added Amount: $82,602.90 Contract Total Amount: $357,945.90 Budget Authority: Medicaid funds Telephone: (360) 740-9767 CFDA Number: Email: niston.franco@eugeniacenter.org DUNS Number: 802400085 Tax ID Number: 91-1534951 Program Contact: Niston Franco Fiscal Contact: Niston Franco Great Rivers Contact: Marc Bollinger Great Rivers Fiscal Contact: Brian Cameron

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