NPI | 1255865135 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA R TARVER Owner 425-429-4793 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 11520651) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |