| NPI | 1033412663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LINDSELL Administrator 360-687-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 06133200) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |