| NPI | 1255723326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE KINCAID Owner 253-670-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LF60417407) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |