| NPI | 1346509775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE A. HAYES Owner/Administrator 253-929-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60172456) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |