| NPI | 1306183801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ALLEN TRUDEL President 360-477-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA MD60053143) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |