| NPI | 1033268008 |
|---|---|
| Former Legal Business Name | KITSAP RESOURCES CONSOLIDATED |
| Entity Type | Organization |
| Authorized Contact | JOE G. ROSZAK CEO 360-373-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 055) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-03-09 |