| NPI | 1225076730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. ASHLEY Director, Social & Health Services 360-653-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM2800X Clinic/Center, Methadone Clinic (Licence: WA 31113900) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |