| NPI | 1295903318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON WADE MILLS Vice President 360-370-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA cp00006237) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |