| NPI | 1225262942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M OLIVIER CFO 360-882-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 601843447) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |