| NPI | 1275066490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH JONES Program Manager 425-899-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH 60152884) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |