| NPI | 1376141929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enrollent/Dir Reimb 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |