| NPI | 1225532849 |
|---|---|
| Doing Business As | CRADLESTONE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN WIEGENSTEIN CEO/Counselor 360-682-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 604194142) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 604194142) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA 604194142) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |