| NPI | 1285837849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L BALLINGER Clinical Director 253-859-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA 152) |
| Additional Taxonomies | 251S00000X (Licence: WA 152) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |