| NPI | 1083005367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MCKENZIESULLIVAN Executive Director 360-586-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: WA dna) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |