| NPI | 1164883617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIA SAMPSON Executive Director 253-642-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 603-211-567) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |