| NPI | 1265681027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMBERLY MICHAELS Executive Director 253-627-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 601717936) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |