| NPI | 1043861743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINIDAD I MEDINA Chief Executive Director 253-336-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-03-20 |