| NPI | 1427258250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WALTMAN President 360-825-9205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA PY00002405) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |