| NPI | 1073639753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L CASTEELE Executive Director 253-536-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA LF00001490) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA LF00001490) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: WA CP00002471) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: WA CP00002471) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-11-04 |