| NPI | 1396257101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINH REYNOLDS CFO 360-397-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CO.60429455) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2023-03-01 |