| NPI | 1154608073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J PHILLIPS GREEN Mental Health Provider 253-267-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2012-09-18 |