NPI | 1316832553 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCIS MATOVU Owner 206-407-5216 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |