| NPI | 1235459272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L NEWMAN-KENNEDY Owner 360-424-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LL00001164) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |