| NPI | 1184162703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN ANN STASZAK Intake Specialist 206-366-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA CG60147073) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-09-28 |