| NPI | 1093195802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN SMEALL Co Founder 253-564-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LF60535747) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA MG60288353) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |