| NPI | 1265982599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY A QUINLAN Operations Manager 062-940-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA 76-122) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2023-06-15 |