| NPI | 1245016039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA M SULLIVAN Chief Of Operation 360-627-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |