| NPI | 1033365929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN BIRD Program Director 253-284-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 27018900) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA 27018903) |
| 251S00000X Community/Behavioral Health (Licence: WA 27018904) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |