| NPI | 1427596949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET SHELSTAD President, Staff 253-332-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LF60071452) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |