| NPI | 1093268641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA THERESA CARRINGTON Owner 253-426-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60308917) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-07-22 |