| NPI | 1013180173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA HENDERSON CEO 360-791-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA AP30006528) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-10-26 |