NPI | 1255831442 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI LEWIS Billing Manager 360-441-9515 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LH60563533) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2018-02-14 |