NPI | 1114354966 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ANNE NEWTON President 360-487-0856 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA MG60279602) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA LH60507972) |
Enumeration Date | 2013-10-10 |
Last Update Date | 2016-04-29 |