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 |