| NPI | 1144486473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THORBECKE CEO 360-833-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 1538) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 1007) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-11-26 |