| NPI | 1083676340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN PERRY EHLIG Physician Assistant 253-582-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: WA PA10002879) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |