| NPI | 1245005032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN GILL President 253-370-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |