| NPI | 1154480051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERSTIN MARGARETA POWELL Health Center Business Office Manag 360-297-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |