| NPI | 1134574569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY LOUISE GODBY President 360-683-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA AP60528556) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |