| NPI | 1184909301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SCHOELD Supervisor 425-388-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH00005598) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |