| NPI | 1427580646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-07-22 |