| NPI | 1306982434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIP DEITRICH Cheif Financial Officer 360-538-9227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |