| NPI | 1386019727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HARRIS Administrator 253-841-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CP00002706) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |