| NPI | 1114398070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINNETTE WILLIAMS Director Of Adult Medical Services 253-396-5817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 25) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: WA 251500000X) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |